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High TSH - High levels of TSH are typically caused by an underactive thyroid or hypothyroidism. This is typically caused by Hashimoto's thyroiditis. If you are already being treated for a thyroid disorder this can be a sign that you need to increase your medication.
But with hypothyroidism, your body can have normal to low thyroxine hormone levels and elevated thyroid stimulating hormone (TSH) levels. These high TSH levels are a result of an overworked pituitary gland that is trying to elevate the hormone levels in an inadequately responsive thyroid.