A TSH level of 9.85 is higher than usual and usually needs medical review. You should consult a doctor for further evaluation and advice on whether treatment or repeat testing is required.

Your lab results show high TSH (20) with normal T3 and T4, which is called subclinical hypothyroidism. This usually requires evaluation by a doctor before starting medication, even if your family suggested Thyroxine. Starting treatment without proper guidance can cause side effects or incorrect dosing. Since you are preparing for exams, you can monitor symptoms such as fatigue, weight gain, or cold intolerance, and schedule a short teleconsultation or lab review with your doctor to determine the correct dose and timing. Avoid self-medicating until a doctor confirms it is needed.

An abnormal TSH level usually occurs due to an underactive or overactive thyroid, autoimmune conditions, stress, or irregular medication intake. If left untreated, it can lead to problems like fatigue, weight changes, heart issues, or fertility concerns, so medical follow-up is essential.

PCOD, along with a very high TSH of 37.5, needs proper evaluation and combined management. Treatment usually includes thyroid medication, lifestyle changes such as weight control and exercise, and hormonal regulation, all determined by a doctor based on reports and symptoms.

Although your thyroid values are normal, doctors may prescribe thyroxine 50 mcg if you have hypothyroid symptoms (fatigue, weight gain, hair fall, depression), if you are planning pregnancy or undergoing fertility treatment (where TSH is ideally kept around 1–2), in cases of thyroid enlargement or nodules, borderline thyroid function, or a history of thyroid disease; in such cases, the decision is based on your symptoms and overall health rather than lab numbers alone, so it’s best to confirm with your doctor the exact reason for treatment in your situation.