Doctor visit report

Sample Patient · Generated 2026-09-09

The key question

My TSH has risen from 1.8 to 3.1 mIU/L over the last three draws since my dose increase to 75 mcg on 2026-05-12, does this mean my dose needs another look?

Recent results

Marker	Result	Lab standard range	Status
TSH	3.1 mIU/L	0.4–4.5	Within lab standard range
Free T4	1.1 ng/dL	0.82–1.76	Within lab standard range
Free T3	2.9 pg/mL	2.3–4.2	Within lab standard range
TPO antibodies	212 IU/mL	<35	Outside lab standard range
Ferritin	38 ng/mL	12–150	Within lab standard range

Key insights

Energy scores were lowest in the weeks when TSH was above 2.5 mIU/L.
Based on 14 paired observations. Lag tested: 2 weeks.

TSH has risen across the last 3 draws, from 1.8 to 3.1 mIU/L.
Draws from 2026-05-12 to 2026-09-04.

Symptom averages, past 3 months

Symptom	Morning	Evening	Days logged
Energy	2.3	2.9	90
Brain fog	2.6	3.1	90
Mood	3	3.2	90
Cold tolerance	2.2	2.5	90
Hair shedding	3.6	3.6	90

Scored 1 to 5, where 1 is worse and 5 is better.

Dose history

Date	Change	Patient's reason
Levothyroxine
2026-05-12	50 mcg → 75 mcg	Dose increase

Adherence

Levothyroxine taken as prescribed for 84 of 90 scheduled doses in the last 90 days (self-reported).

Questions for my doctor

My TSH has risen from 1.8 to 3.1 mIU/L over the last three draws since my dose increase to 75 mcg on 2026-05-12, does this mean my dose needs another look?
My TPO antibodies are 212 IU/mL, well above the lab's cutoff of 35, what does this mean for how my thyroid is managed going forward?
I logged 84 of 90 expected levothyroxine doses in the last 90 days, could the 6 missed doses be part of why my TSH is climbing?

AI-generated from your data