<s>[INST] Hello, My daughter, aged 1yr 10 months, suffering from thyroidism and found first at her 3 months age. from last test TSH-30, T4-3.02, T3-0.67 found. she is taking THYROXINE Sodium 50mg (3/4 of 1tab) under a child specialist. her improvement seem remain stop at same stage. what would be the best suggestion from your end? fyi, i m from Bangladesh. regards.. [/INST] hello. thyroid hormone is very much essential for physical as well as brain development. you did not mention since when the child is on thyroxine. while on thyroxine child should be monitored for weight and height at regular interval. xray of bone can b done to monitor improvement in bone age with treatment. </s>