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AM versus PM dosing......side effects

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Thyroid Disorders
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Posted 11/19/2015 2:46 AM (GMT 0)
Hello, I've been taking 50mcg Levothyroxine, for 2 yrs now. I always take in the morning, 1 hour before breakfast or coffee. I get hot flashes, irritable. So I decided to take at bedtime. So I take now at 10 pm, 2 hours after eating. I still have hot flashes, some problem sleeping, hot and cold, but mostly, the next day, I'm so sluggish, lethargic, no energy at all, but Im not irritable. So what should I do? Why am I having these problems?
Posted 11/19/2015 8:47 AM (GMT 0)
Hi,
It is possible that your dose is not adjusted properly , do you have any thyroid related lab work to share with us ??
TSH is the most important test to evaluate thyroid function .

If you don't have it then it is time to test for TSH and Free T4 !

Best of luck ,
Posted 11/19/2015 12:38 PM (GMT 0)
Hello, no I don't have any of my bloodwork available. It's probably time for me to have my bloodwork done again, I know it's been over a year since I had it done. I will ask have to have my bloodwork done for TSH, in Dec, when I go to the doctor nxt month. Does it sound, like my thyroid med, might be too high or too low ?
Posted 11/20/2015 3:46 AM (GMT 0)
Hi ,
50 mcg per day is relatively a small dose , in many cases it is the initial dose !

Best ,
Posted 11/20/2015 4:37 AM (GMT 0)
Ok, I'll get it checked next month when I revisit my doctor. Thank you
Posted 11/20/2015 6:27 AM (GMT 0)
Do you know whether you have Hashimoto's disease which causes your hypo ?
To check for it you need also to ask your doctor to check antiTPO ab and TG ab , if either is positive then you have it .

Best ,
Posted 11/20/2015 12:30 PM (GMT 0)
No, I on'
Posted 12/11/2015 3:34 AM (GMT 0)
The symptoms you are having are the most common hypothyroid symptoms.

To truly evaluate optimal thyroid levels, you need to know what your actual available thyroid hormone levels are floating in your blood.

TSH is not a cell consumable hormone, and this is the reason so many thyroid patients are told their levels are normal, when in fact they might not be. You need to measure Free T4......AND Free T3.

1)If you only use/need T4 meds (what your on), and have FreeT4 level in the bottom 1/2 range, many will still be hypo.

2)Your body (liver, brain) is supposed to convert the storage T4 hormone into proper T3 for your cells to use. Not everyones body converts like it should.

So you can have a normal FT4 and still feel hypo if you dont convert well and have FT3 levels under 2/3 rds of the range. People are unaware of this and so are many general PCP's. Shame on them.

This is why they also have T3 meds to use in addition to the popular T4 meds like Synthyroid and generic Levothyroxin.

People who only need and feel great on T4 meds will not have personal experience with this.
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