Has anything changed in our treatment? I think not.
It relates because I'm having to go it alone to get T3 and use it and that's not right. Never has been and never will be. The lack of understanding from medics is shocking.
You should ask this in a post of your own because it will be lost in here. But I do know what you mean. When I moved up to 75mg Levo a day I felt like you describe. I had to wait until about 4pm when I felt it wearing off and then I'd be back to my normal self for the evening meaning I had to stay at work late every day to get anything done. Now I'm on 125mg Levo I never bounce back. I don't understand what that was about either. I suspect the more T4 I take the less well I convert. But I don't know why that might be. I recently tried to increase to 150 Levo a day and felt worse. When I checked my T3 had gone down.
The ‘expert’ is a professor at Harvard but still erroneously says that over-medication with thyroid hormones makes you hyperthyroid - no, it doesn’t it makes you over-medicated.
This is a 2007 article. Levothyroxine has been reviewed since then and changes made to its classification, production and the dissolution tests. So levothyroxine, in the UK at least, is more reliable than prior to 2007 when people may have been alternately and unknowingly over or underdosed due to its unreliable potency.
Neither the psychiatrist or consultant would have known about the problems in levothyroxine production or testing since the results of the review did not emerge until 2012.
The UK levothyroxine report came after all USA makes had been required to apply for approval as if new medicines. Which resulted in at least one make disappearing. And a lot of questioning of bio-equivalence across makes.
I'd be surprised if USA levothyroxine weren't considerably more consistent - with and between makes - since this process. Still many issues...
Yes, but I was specifically identifying the relationship between the UK and USA regarding levothyroxine earlier this century - as discussed by Nanaedake - and the relevance of 2007 in this area.
And yet the psychiatrist is still trying to play god! When these ‘professionals’ begin to use the narrative ‘dosage in accordance with symptoms’ then I’ll start to credit them with an ounce of integrity.
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