No other medication or supplements at same as Levothyroxine, leave at least 2 hour gap.
Some like iron, calcium, magnesium, HRT, Lansoprazole or vitamin D should be four hours away
(Time gap doesn't apply to Vitamin D mouth spray)
Bloods should be retested 6-8 weeks after each dose increase in levothyroxine
Aim is to increase the dose slowly upwards in 25mcg steps until TSH is ALWAYS Under 2
Most important results are always Ft3 followed by Ft4
Ft3 should be at least 60% through range and usually Ft4 will be at slightly higher % through range
All thyroid tests should be done as early as possible in morning before eating or drinking anything other than water and last dose levothyroxine 24 hours before test
If you normally take levothyroxine at bedtime/in night ...adjust timings as follows prior to blood test
If testing Monday morning, delay Saturday evening dose levothyroxine until Sunday morning. Delay Sunday evening dose levothyroxine until after blood test on Monday morning. Take Monday evening dose levothyroxine as per normal
When I first started taking levothyroxine I had 2 cycles of quite heavy periods and hadn’t had a period for a few months so was surprised. It then evened itself out and went back to normal so I think it’s the body getting a kickstart and then adjusting.
As SlowDragon has said there are many factors to take into account but wanted to let you know my experience.
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