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purchase hardware methimazole with 5mg tablets What does it mean if TSH is high but t4 is normal? Patients with elevated TSH levels (usually 4.5-10.0 mIU/L) but normal free hormone levels or estimates are considered to have mild or subclinical hypothyroidism. In early hypothyroidism, TSH levels are elevated, T4 levels are normal to low, and T3 levels are normal. Is TSH higher in morning or afternoon? When TSH levels stay high it suggests that the body cannot make enough thyroid hormone. Most laboratories define 'normal' TSH as between 0.5 and 5.0 uM/L. TSH levels above 5.0 are considered hypothyroidism and those below 0.5, hyperthyroidism. Morning and afternoon TSH levels were measured and compared.