I increased my thyroxine myself from 100-125 on Sunday. I have previously posted about this. I have been experiencing a lot of dizziness and almost blacked out yesterday. I’m wondering if this could be to do with the increase or the fact that I went gluten free almost two weeks ago.
I appreciate your time and thoughts as always.
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Underactiveclare
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Clare it is usual to feel worse before the full benefits of an increase kick in.Some folks, me included, find increase hard on the body. The only way I could increase was to split my dose.
For some the spike as a full daily dose enters the system in one go is too much.
I do . That leaves all day for any other supplements, meds, food.At on point I took it 3 times a day first thing, about 4pm and bedtime. The afternoon slot clashed with my routine so I stopped that and didn't notice any difference.
I have a list of meds and supplements which until a few days ago, I had been taking all at the same time. Levo was the only exception and I was taking this an hour before everything else. It’s so weird that you get diagnosed with an under active thyroid, given meds and sent on your merry way.
I wouldn’t even know I have Hashimotos without this group. I say it a lot but I do feel incredibly blessed to have found you all.
I think I still have some organising to do around drugs and supplement timings but I’m getting there
You could try cutting your 25mcg tablets in half and using a 112.5 mcg dose for a few weeks, or cutting into quarters and adding just 6.25mcg to the 100mcg tablets.
Some people do better on small dose increases once they get to a certain level. You have increased your dose by 25%, so it isn't a surprise for it to cause problems.
I have 50mcg and 100 mcg tablets of Levo. I was taking 50mcg twice a week and 100mcg five days a week, which averages out at 85.7 mcg Levo per day.
I recently tested and thought I needed more Levo. So I Increased to 50mcg once a week, and 100mcg six days a week, raising my average to 92.9 mcg per day. Despite the tiny dose increase I felt the difference after a week or two. I'll retest 6 - 8 weeks after making the change.
You could try something similar. It might help if tolerating increases is a problem.
If you are taking T3 or NDT it has to be the same dose every day.
The difference is based on how quickly the body uses up the hormones. T4 is a storage hormone, and the body uses it / converts it to T3 / excretes it as it pleases over quite a long period of time. (A week? But don't quote me.)
Some people take an entire week's dose of Levo on just one day a week, but few people would do very well on that, I think.
T3 on the other hand gets used / goes into the cells / converts to T2 and then T1 / gets excreted much more quickly than T4 (within hours), so differences of dose are much more obvious to the patient. T3 does stay in the cells for longer than a few hours, but I can't remember how long.
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