Feeling cold in evening after taking Levothyroxine in morning.

[Mama196]

Hi does anyone split their dose?

I’m always freezing in the evenings compared to the mornings and wonder if it’s because I take Levo in the morning?

[helvella Administrator Thyroid UK]

I suspect that there is a combination of too low a dose and the effect time of taking.

But, yes, time from dose to effect can be important. Though many forget (or miss) that the T3 level in our blood which comes about from our taking the levothyroxine we need, occurs about 48 hours later.

Maybe try bed-time dosing?

[Mama196 in reply to helvella]

Thank you, I’ll have a think- worried I’ll forget if I don’t take it in the morning and I have other things to take in the evening etc. Might give it a try though and see if it helps! Pretty sure my dose is ok though.

[jamesal0]

You are probably just a little low. Take a little more levo each day - maybe 10-20% keep an eye out for side effects like tingles in the hands of feet, heart pulps. you can break a 50mcg in halves and take the extra half every second day for a daily increase of 12.5mcg as an example

[SlowDragon Administrator]

Looking at previous results

healthunlocked.com/thyroidu...

Vitamin levels are low

No vitamin D result

Ferritin too low

As you have Hashimoto's are you on strictly gluten free diet?

[SlowDragon Administrator]

Just rereading some of your earlier posts

As you have coeliac disease you are likely to need addition of small dose of T3

As you are on strictly gluten free diet it's important to regularly retest vitamin levels

Did you get vitamin D tested? Magnesium is often low too on GF diet and with Hashimoto's

What supplements do you currently take?

Email Dionne at Thyroid Uk for list of recommended thyroid specialist endocrinologists who will prescribe T3

thyroiduk.org.uk/tuk/About_...

[silverfox7]

From what others say I would look first into vitamin levels etc. Getting those optimal for me made a huge difference but it can take time to get levels up especially if very low. That should increase thyroid levels but if still low then consider a dose increase.

[Kalamaki]

It could be that your dose is too low... but with hypothyroidism, I find, you always feel the cold more than those who do not have this. I did not find a difference whenever I took my dose.