Levothyroxine

Levothyroxine is a drug used to treat hypothyroidism, which is a condition that results from underactive thyroid gland. It provides thyroid hormone to the body. The side effects include increased appetite, weight loss, excessive sweating, nervousness, and anxiety.

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Why do I feel fatigued even after a year of treatment for hypothyroidism and Hashimoto's?

Query: Hi doctor,I have hypothyroidism and Hashimoto's thyroiditis. My doctor tested my TSH levels and treats me with Levothyroxine. I have extreme fatigue after taking this treatment for a year though my TSH is in a normal range. My doctor told me that freeT4 and reverse T3 are not important parameters to...  Read Full »


Dr. Zulfiqar Ahmed

Endocrinologist, Diabetologist

Answer: Hi, Welcome to icliniq.com. Some people taking treatment for hypothyroidism still experience symptoms even if the blood tests show normal thyroid hormone levels. The reason behind this is complex but the bottom line is that a normal TSH (thyroid stimualting hormone) level does not mean that al...  Read Full »

After taking Nature-thyroid, I got some severe reactions. Can I take Levothyroxine?

Query: Hi doctor, I was switched to Nature-Throid. Within nine days, I had a severe reaction. It caused panic attacks at night, waking up in sweat and insomnia. Then, my naturopath took me off and said to go back to my Levothyroxine. I take 88 mcg daily and 25 mcg once a week. I just realized that I forgo...  Read Full »


Dr. Deep Dutta

Endocrinologist, General Medicine Physician, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. It is good that you are off nature thyroid. Its responses are unpredictable and reactions are common. Levothyroxine is the best and the safest. It is good that you are back on Levothyroxine. I think you should just continue 88 mcg of Levothyroxine daily in the empty stoma...  Read Full »

Is variability of blood pressure a symptom of orthostatic hypertension?

Query: Hi doctor, My blood pressure is high when I am up. It is 150/95 but drops as low as 77/45 when laying down. My cardiologist told me this makes no sense and dismissed me. I am not lying. This is happening every single time. My left-sided heart, liver, and spleen are enlarged. I have a history of hyp...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. Thanks for the query. Yes, this can occur. It is called orthostatic hypertension, and it signals an abnormality in cardiovascular autonomic control mechanisms. Diabetes mellitus may be one of its causes as it leads to autonomic dysfunction. Control diabetes, cholest...  Read Full »

Kindly examine the TSH reports of my wife and suggest.

Query: Hi doctor, I would like to ask a question for the thyroid disease. My wife was suggested to get a blood test, including TSH, T3 and T4. The report showed TSH level 14 and T3 and T4 as normal. After two days, she had a second set of test, which showed TSH level 2.58. After three days, her third test...  Read Full »


Dr. Divakara P

Diabetologist, Endocrinologist, General Medicine Physician, Internal Medicine Physician, Pain Medicine Physician, Pulmonologist

Answer: Hi, Welcome to icliniq.com. The normal level of thyroid-stimulating hormone - TSH is 0.3 - 5.5. Three out of the four tests showed that your wife's TSH level is more than 5.5. It indicates that she is having hypothyroidism. Control of hypothyroidism is important for having a normal pregnancy and nor...  Read Full »

Which is the best medication to control my T3 and T4 levels?

Query: Hello doctor, I am currently taking NP thyroid 90 mg. I started on 60 mg. Initially, I used 100 mcg of T4 medicine but still had some issues. Once I went to NP, the T3 seems to help, but once my T4 hormones dropped, I could feel some of my symptoms again. Free T3 4.98 pg/mL. 1.58 - 3.91 pg/mL Fre...  Read Full »


Dr. Rahul Kackar

Rheumatologist, Endocrinologist, Internal Medicine Physician, General Medicine Physician

Answer: Hello, Welcome to icliniq.com. You should decrease the dose of NP thyroid to 60 mg or shift back to Levothyroxine if you tolerate it well.  Read Full »

How long should I take Levothyroxine for hypothyroidism?

Query: Hello doctor,I was tested for hypothyroidism before few years. My TSH was 5.6, and put on 50 mg of Levothyroxine and not explained anything about it to me. I took medicine for the past 12 years with lots of side effects. I got rashes, dry skin, frizzy hair, hair loss on legs and arms, and hair start...  Read Full »


Dr. Nasir

Pain Medicine Physician, Internal Medicine Physician, General Medicine Physician

Answer: Hello, Welcome to icliniq.com. I have gone through your problem and can understand that it must have been quite difficult to take some medication for 12 years. Now there are somethings about thyroid and hypothyroidism that you should know. Usually, a thyroid profile is done when a doctor suspects...  Read Full »

How to treat high TSH levels?

Query: Hi doctor, I am a 62-year-old female. I took a blood test, and my thyroid levels T3 - 129ng/dl, T4 - 9.6ug/dl, and TSH 11.8 ul/ml. Please suggest medicine to cure my thyroid problem.  Read Full »


Dr. Zulfiqar Ahmed

Endocrinologist, Diabetologist

Answer: Hi, Welcome to icliniq.com. Your TSH is high and T3, and T4 are normal. It is called subclinical hypothyroidism. You need to take Levothyroxine 25 mcg once daily before breakfast. Take for six weeks, then repeat TSH (thyroid-stimulating hormone). Your TSH target is 0.5 to 5. Let me know your res...  Read Full »

Please suggest an effective way to get cured from menorrhagia.

Query: I have severe menorrhagia for the past 18 months, where two of my periods have lasted 48-50 days of bleeding, I visited the GP countless times who tried changing my prescription of contraceptives, put me on norethisterone, had scans done and blood tests, I changed from Levlen to Diane and they said ...  Read Full »


Dr. Monica Mathur

Obstetrician And Gynaecologist

Answer: Thanks for using icliniq The most probable cause of your excessive bleeding which is also prolonged is due to to a dysfunctional uterine bleeding in which due dup to hormonal imbalance Due to that ,the bleeding continues for a long time and can only be controlled by medicines Apart from that you a...  Read Full »

Which of the two opinions for my TSH value is correct?

Query: Hi doctor, I am very concerned about my health. I made an appointment last year with an endocrinologist. I had a laboratory work and my TSH was 3.4. It was considered normal on laboratory ranges. But, my primary doctor said that 3.4 is high on what it should be consider the new normal. My LDL chole...  Read Full »


Dr. Bindiya Thakkar

Diabetologist, Endocrinologist

Answer: Hello, Welcome to icliniq.com. Work up of hypothyroidism involves just TSH (thyroid stimulating hormone) or TSH and free T4. TT3 (triiodothyronine) or reverse T3 has no role in the diagnosis of hypothyroidism and it is useful in hyperthyroidism. TSH more than 10 is hypothyroidism and definitely need...  Read Full »

Will lowering high TSH value help with pain in my leg and knee area?

Query: Hello doctor, I am a 42-year-old female. I am a thyroid patient and going through a lot of pain around my leg and knee area. I am unable to walk properly and the pain is constant. So I recently did a blood test and the report showed high TSH rate which is about 29.423 ulU/mL   Read Full »


Dr. Zulfiqar Ahmed

Endocrinologist, Diabetologist

Answer: Hi, Welcome to icliniq.com. Your thyroid tests (attachment removed to protect patient identity) show that you have hypothyroidism. Your thyroid hormone T4 is low and TSH is quite high. So you need to start your medication. Please take Levothyroxine 50 mcg once daily before breakfast. When you ...  Read Full »

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