Have GP app today advice needed

[Andypandy30]

I have to see doctor today due to how I have been feeling on the increased dose of levithyroxine to 100 mcg .all I know is that my thyroid levels have come down on the high dose she said on the phone and that the increased dose has worked .but I physically and emotionally cannot cope with the high dose and want to say this to her .if my thyroid levels are normal can I come down to 75 mcg now if she keeps an eye on bloods

[Buddy195 Administrator]

Personally, I would trial a 12.5mcg reduction to 87.5mcg in the first instance. I’ve found low and slow adjustments, either increases or decreases, work best for me physically and mentally.

[tattybogle]

new GP bloods will not give a reliable picture because you have not been on 100mcg for long enough . so don't put too much faith in them .

for reliable thyroid blood tests you need to have been on a stable dose for 6 wks.

,based purely on how you feel at the moment you can either decide stay on 100mcg until you have been on that dose for 6 weeks and then asses how you feel at that point and do a blood test (tests done before that point are not much use at all, and it's not long enough for the body to get used to the new dose )

or.

if you decide you can't handle staying on 100mcg any longer , reduce to 87.5mcg (by taking 75/100mcg on alternate days) , BUT you will then need to stay on that dose for 6 weeks , then test.

going back to 75mcg is probably pointless (unless you felt good on 75mcg ?)

Can you remind us of the results/ symptoms that led GP to increase dose to 100mcg , to save people having to look through old posts ?

[Brightness14]

Why not try an adjustment i.e. 100 levo 4 days and 75 Levo 3 days. This would work out at around 89 Levo per day. Or 3 days on 100 and 4 on 75 Levo making about 86 per day. Many people do this to get the correct dose.