Taking Thyroid Medication In The Morning
The most common thyroid hormone replacement medication is levothyroxine. This drug is a synthetic form of the thyroid hormone thyroxine. Thyroxine is also called T4.
In your body, T4 is converted into another hormone called triiodothyronine. This hormone is also called T3. It regulates many of your body’s functions.
Experts have long recommended taking thyroid medication like levothyroxine first thing in the morning. Typically, you’re told to take your medication with water and wait at least an hour before breakfast or coffee.
Experts also recommend waiting three or four hours before taking other medications or supplements. This helps make sure your thyroid medication is absorbed by your body.
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Symptoms Of Hypothyroidism And Hyperthyroidism
The early warning signs of thyroid problems can be easy to mistake for other health conditions. Fatigue, for example, is often experienced by people in menopause. There are a few symptoms, however, that taken together can alert you that it’s time to see a healthcare provider:
- Fatigue, or tiredness that doesn’t go away after a good night’s sleep
- Weight loss or gain
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What Is The Best Way To Take Thyroid Hormone
The maintenance of steady and predictable thyroid hormone levels in the blood is essential to health . Patients with hypothyroidism need to take thyroid hormone by mouth as a medication each day. Dietary habits can influence how the body absorbs thyroid hormone.
Thyroid medication should be taken on an empty stomach, around the same time each day. Afterwards, we recommend avoiding eating or drinking for 30-60 minutes. Most of our patients take thyroid hormone in the morning upon waking. Breakfast, including any coffee or milk, can be eaten 30-60 minutes later. The second most popular method is to take thyroid hormone in the evening, at least 3-4 hours after any food intake. You should try to establish a routine that allows you to be consistent each day.
Certain medications and supplements decrease absorption of thyroid hormone and should be taken 3-4 hours after taking thyroid hormone. These include fiber supplements, calcium and iron supplements, proton pump inhibitors , soy products, and multivitamins with minerals.
Hypothyroidism Vs Hyperthyroidism: Differences And Symptoms
Hyperthyroidism and hypothyroidism are thyroid diseases that affect how much hormone your thyroid produces. When you have hyperthyroidism, your thyroid is overactive, which means it produces too much hormone. When you have hypothyroidism, your thyroid is underactive, which means it doesn’t produce enough hormone.
Both conditions can be caused by an autoimmune disease, though there are also other potential causes. The two conditions also have overlapping symptoms, but in general, hypothyroidism tends to make you feel sluggish and tired, while hyperthyroidism may give you symptoms like a racing heart or high blood pressure.
Verywell / Michela Buttignol
Will I Be Off Thyroid Medication For Good
Ive been asked this before and the answer is I dont know, yet. At this time, it seems like everything is healed up, and my blood levels continue to improve as time goes on, but that could always change.
On top of that, I would like to have more children, and pregnancy can do strange things to the thyroid, especially in the post-partum timeframe. My continued goal is to support my body and thyroid in the best way possible so it can adapt to all of these changes.
One thing Im happy to know, both from my personal experience and also my family history, is that I definitely have the genetic tendency towards thyroid problems. While I may not need medication for the rest of my life, it will still be one of the first places I look if my health ever starts to go downhill again. I will continue to monitor it at least 2-3 times a year for a while.
In the mean-time, Im going to celebrate each day I go without it, because that is a huge win after a decade of needing it!
What About Decreasing Medications
I do recommend decreasing your thyroid medicine if your thyroid shows signs of getting stronger.
But, how do you know when this is happening? You would have stable blood levels on a dose and over time start seeing signs on future tests that the dose is now more than you need.
Your blood levels show a combination of thyroid hormone from medication you take and from what your body makes by itself.
If the total amount goes up but the medication did not change, then that means your gland is getting stronger and it is time to decrease the dosage.
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Side Effects Of Thyroid Medication
The most common side effect of taking levothyroxine is hair loss during the first few months, which is usually temporary. Other potential thyroid medication side effects are less common, but you should contact your doctor if you experience any of the following:
For about one in seven of the 10-12 million Americans with an underactive thyroid gland, conventional treatment with the synthetic thyroid hormone levothyroxine just isnt enough.¹ Sometimes, the cause is simple and easy to fix you may need a dose adjustment, a change in when you take your thyroid medication or in where you store it, for example. For others, the reasons are more mysterious and controversial. For instance, some experts say some people with hypothyroidism may benefit from adding a second thyroid hormone called T3. If you continue to feel sick, tired, depressed or have symptoms like stubborn weight gain, dont reach for an over-the-counter thyroid booster . Its worth talking with your doctor about the best solution for you. Here are five thyroid medication mistakes that you might be making:
Combining Your Synthetic Thyroid Hormone With Other Medication
Just as there shouldnt be food in your stomach when you take your hypothyroidism medication, its also important to avoid taking any other medication at the same time.
Specifically, antacids, calcium, cholesterol drugs, and iron supplements can each interfere with the way the thyroid hormone is absorbed. So, you should take these particular drugs four hours before or after taking your thyroid medication, according to the U.S. National Library of Medicine. Most other medication can typically be taken 45 minutes to an hour after your hypothyroidism treatment, Bianco says.
Is It Possible To Get Off Thyroid Medication
As is often the case, when we look at a question like this, it becomes a lot more complex and it may seem initially, on the surface. Lets tackle issues number two through four first, because theyre actually going to inform the answer to the first question, which is, is it possible to get off thyroid medication? In terms of diagnosing Hashimotos, its actually not quite as straightforward as just doing an antibody test and seeing what the results are. I wish it were. It would make my life a lot easier, for sure. But the first-line test you do, typically what I do, is for antibodies. By antibodies, I mean thyroperoxidase and thyroglobulin antibodies, these are the two antibodies that tend to be elevated in Hashimotos. Thyroperoxidase is elevated a lot more often than thyroglobulin. Its more sensitive to Hashimotos. Its not more specific. So youll tend to see it elevated more frequently.
In this episode, we cover:
3:15 What Chris ate for breakfast6:36 Are antibodies reliable in diagnosing Hashimotos?14:50 Can you reverse autoimmunity?19:13 3 issues that cause T4 to T3 conversion problems30:46 Is it possible to get off thyroid medication?
Alternatives To Armour Thyroid
Natural desiccated thyroid is the original treatment for hypothyroidism. It has been used for more than a century.
In the mid-1900s, a synthetic version of thyroxine one of the two primary hormones the thyroid gland produces was developed. This synthetic form of thyroxine is called levothyroxine or l-thyroxine.
Even though natural desiccated thyroid contains two key thyroid hormones thyroxine and triiodothyronine as well as other elements found in an organic thyroid gland, levothyroxine has become the preferred treatment. Brand names for levothyroxine include:
Hypothyroidism Medication Mistakes To Avoid
Taking your thyroid hormone as prescribed can help you stave off the unpleasant symptoms of low thyroid.
The goal of hypothyroidism treatment is to replace the thyroid hormone that you are not able to produce. This helps you feel more energized and back to your normal self, says Antonio Bianco, MD, PhD, a professor of medicine at the University of Chicago in Illinois.
After youre diagnosed with hypothyroidism, your healthcare provider will likely prescribe a synthetic hormone that helps stabilize your thyroid levels, Dr. Bianco says. But there are some guidelines for taking the medication that you need to know about.
Heres how to avoid the most common hypothyroidism medication mistakes.