I used to take Eltroxin & swopped to 75 mcg Wockhardt levothyroxine due to negative reactions taking Amco's generic levothyroxine which took the place of Eltroxin.
Alongside the 75 mcg T4 I also took the equivalent of 6 mcg synthetic T3 (Cynomel from Mexico). I didn't like the spiking and severe irritability that I experienced with it. Also I didn't know the quality of this T3.
Am now trying to take Erfa. The doctor who prescribed it (privately) suggested I drop to 50 mcg T4 and replace the T3 with half a grain of Erfa (30 mcg = equivalent to 18 mcg T4 and 4 mcg T3).
I've stopped the Cynomel completely, but still taking 75 mcg Wockhardt T4 as afraid of becoming hypo.
I am extremely medication sensitive. I've started Erfa on a quarter of half a grain which is equivalent to approx. 4.5 mcg T4 and 1 mcg T3.
I take it sublingually.
The very moment I've taken it I immediately feel the need to eat and immediately very spaced out. My brain goes into shut down mode (like brain fog) and I can't think clearly anymore. Not possible to use PC, phone, or any other left brain stuff. Anxiety goes up. When it wears of some hours later I have a headache and feel hung over.
I'm not sure how I should manage the change over. I'm used to taking levothyroxine early morning an hour at least before food.
Does it matter whether Erfa is taken before or after food? Would absorption be affected by eating? Maybe I would tolerate it better if I ate first and my blood sugar was up. (I have low blood sugar issues).
It would be very useful to hear what others of you do please. Any feedback would be appreciated! I am about to think that I have to come to terms with using levothyroxine only.