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Thyroid / Other Endocrine Disorders
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Ask The Expert
Harvard Medical School
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General Medical Questions
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Q: When your TSH count is 0.13, is this hyperthyroidism or hypothyroidism?
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The Trusted Source
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Howard LeWine, M.D.

Howard LeWine, M.D., is chief editor of Internet Publishing, Harvard Health Publications. He is a clinical instructor of medicine at Harvard Medical School and Brigham and Women's Hospital. Dr. LeWine has been a primary care internist and teacher of internal medicine since 1978.

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November 12, 2012
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A:

Your thyroid stimulating hormone (TSH) level is low. Normal is between 0.3 and 4.0, with each laboratory reporting different ranges.

Almost always, a low TSH means that you have too much thyroid hormone in your blood. This could be caused by:

  • An overactive thyroid gland (hyperthyroidism)
  • Taking a dose of thyroid medication that is more than you need

Here is the explanation: Thyroid stimulating hormone is made by the pituitary gland. This small gland sits at the bottom of the brain. The gland sends TSH into the blood stream. When TSH reaches the thyroid gland, it causes the thyroid to make thyroid hormone.

The amount of thyroid hormone in the blood is relatively constant. If the level is normal, TSH will be normal. If the blood level of thyroid hormone rises above the normal range, the pituitary gland slows down and makes little or no TSH. The TSH level gets very low.

However, sometimes the pituitary gland is damaged or not functioning normally. In this case, the gland makes little or no TSH, so the blood level is very low. Without TSH in the blood, the thyroid gland does not get stimulated to make thyroid hormone. So, the blood level of thyroid hormone also gets very low. And now you have hypothyroidism.

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