سوال للمناقشة

high TSH with normal T3 and T4 or slightly ncreased can happen in the beginning of the disease or if the patient is on throid replacement therapy so i recommend you to do FT3 and FT4 for that patient and to repeat the TSH again after 1 month also to do prolactin as both of them come from the posterior pituitary gland last thing is to do antithyroid antibodies to exclude autoimmune cause of hypothyroidism

وانا ارى ان الاخت رغودة صح وانا مع رأيها