Good doctor!: Just to update from my posts... - Thyroid UK

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Good doctor!

Meds456 profile image
6 Replies

Just to update from my posts earlier. My GP was great this morning. Despite my TSH levels having fallen from 4.7 to 1.2 in the 7 weeks I've been taking levo, she listened to my symptoms and doubled my thyroxine from 50 to 100 mcg! She said, in her experience, it is best to get the TSH level of people with hypothyroidism right at the low end of the range, almost "over treating" it until they feel better. Wow! I was all ready for a fight and it didn't materialise.

Hoping this increased dose will have an impact. Thanks everyone for your advice so far.

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Meds456
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6 Replies
Nickinoo1 profile image
Nickinoo1

Goodness where do you live - think I need that GP to talk to mine! Never ever move you have the perfect GP! :)

Clutter profile image
Clutter

Meds456, While it's good to hear your doctor listened to you and increased your dose, being overtreated can be just as unpleasant, painful and difficult as being undertreated. Dose increases are usually in 25mcg increments every 4/8 weeks.

I strongly advise you to increase to 75mcg initially rather than doubling your dose. It may take 7/10 days for the increased dose to be absorbed before you start to feel any improvement. You may find 75mcg is sufficient after a few weeks but, if not, you can increase to 100mcg.

This link explains what happens with dose increases and absorption. It discusses NDT but the principle applies to Levothyroxine too.

thyrophoenix.com/adjusting_...

Schenks profile image
Schenks in reply to Clutter

I LOVE this link. It has given me such patience since it was given out last time - and I don't fear the hypos and the hypers so much, or the slow, slow, slow progression from 1 3/4 NDT to 2 grains. Up, back, ... u-u-up ...

It's a really good link. Go SLOWLY, Meds.

shaws profile image
shawsAdministrator

She sounds a wise doctor but I would do as Clutter suggests. It is always better to gradually increase rather than doubling dose.

Fruitandnutcase profile image
Fruitandnutcase

Goodness me. Clone that doctor and share her round

Daisy77 profile image
Daisy77

If she is a good doctor she will understand the reasoning for a slow increase. It took me 6 months to get up to an optimal level after a crash.

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