I am on Levothyroxine but still have hair loss, and weight gain. Please help.

Question

Hello doctor,

I was diagnosed with Hashimoto's 10 years ago. I have been on Levothyroxine, and current dose is 125 mcg. During that time I have been hospitalized four times because of heart palpitations. Even though I am on medicine I still have coarse hair, hair loss, weight gain, puffy face, hoarse voice, and constipation. I was wondering if I should switch to a different thyroid medicine? The other medicines that I take are Welbutrin 150 mg, Cymbalta 90 mg, probiotic, stool softener, and Vitamin B12.

Answer 1

Hello,

Welcome to icliniq.com.

I just read your query and from what you have mentioned it appears that you are having very good thyroid function test results. I would not recommend that you change the form of Thyroxine at any cost. Regarding your hair, face and constipation I understand it is hard having these side effects from Thyroxine which will still be there in spite of switching to an alternative form but the risk is more in switching the drug.

1. Try alternative treatment for your hair and constipation.

2. Apply coconut hair oil overnight and wash with a mild shampoo twice weekly.

3. Use a good conditioner.

4. Incorporate increased fiber in your diet to get rid of constipation like carrots, bananas, cucumbers, etc.

5. Try walking daily.

6. Reduce salt and fat in your diet to reduce facial puffiness.