Why do some patients need much higher doses than others?

[Clutter]

4 Reasons Why You May Need More Thyroid Medication

by Holtorf Medical Group

Do you need more thyroid medication? If you're a thyroid patient, you may be taking a dose of thyroid medication that is larger than friends or family members who are also on thyroid hormone replacement. Yes, body weight can play a small role in dosage, but all things being equal, some people still simply require far larger doses of thyroid medications. What's really going on?

Researchers took a look at some of the key factors that cause patients to need larger-than-expected dosages of thyroid medication. The study looked at levothyroxine dosages in hypothyroid patients, but the factors they identified – the reasons why you may need more thyroid medication – are relevant whether you’re taking levothyroxine, liothyronine (T3), or natural desiccated thyroid for your hypothyroidism.

cont/d... in holtorfmed.com/need-more-th...

[Hidden]

Very interesting, thank you.

[helvella Administrator]

Add - having had bariatric surgery and lactose intolerance.

[Clutter in reply to helvella]

Haven't added resistance to thyroid hormone either.

[JGBH in reply to Clutter]

How can you find if you have resistance to thyroid hormone? Thanks.

[Clutter in reply to JGBH]

JBGH,

Usually both TSH and FT4 will be high.

[JGBH in reply to Clutter]

Clutter,

Thank you. So I conclude I do not have thyroid hormone resistance, which must be a good thing at least!

[jgelliss]

Enjoyed !!! Thank you ,

[silverfox7]

Yes lots of rules to follow but well worth the effort of getting everything right. Many doctors haven't a clue but lots of info on the Thyroid uk site as well.

[lc1973]

I'm currently taking 250mcg levo and dont feel well. Also have low in range vitamins. Which category is this or is this an additional item?

[Clutter in reply to lc1973]

lc1973,

250mcg is a high dose. You need to check 250mcg is optimal for you and correct low vitamin levels.

[helbell]

Thank you. And miss your presence x