You haven't mentioned your first post from earlier on.
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I had a Short Synacthen Test to check my adrenals first before I started my Levothyroxine. This seemed important to my Endocrinologist.
I have advised you to get your Adrenals checked before starting Levothyroxine.
50mcg is the usual starting dose. We cannot go straight on to full dose, that's dangerous, we have to build up gradually over time. Increases are usually by 25mcg each time after follow up bloods after 6 weeks: until your TSH is down below 2; and your symptoms improved.
This may take a few months.
It's important that you get Nutrients tested asap and any deficiencies treated properly. Your Levothyroxine will work better for you with your nutrients levels were they should be.
When starting your Levothyroxine take on it's own with water only , early morning 30 - 60 minutes before food and drink. If you get prescribed supplements then take them with lunch.
Never take any other meds at the same time as Levothyroxine.
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's is very poorly understood
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
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