One time I took the pill without water, after an hour I noticed it is still in my throat and I had to drink water to let it go through to my stomach ... that day I felt extreme fatigue .. I'm sure it is because of the medicine was unstable by the time it was my gut for absorption. I know this because I got theses symptoms when my medication once exposed to high temp.
So, what about Diluting Levothyroxine in Water? Is it a good idea?