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Most Common Symptoms Experienced With Hashimoto’s.

Hashimoto's symptoms

Many of the things you’ve been going through, like fatigue, anxiety, weight gain, menstrual irregularities, and hair loss, are likely related to your thyroid imbalance.Thyroid hormone receptors are present in virtually every cell in your body. Here’s an article about the most common symptoms experienced with Hashimoto’s. Taking thyroid medications can make a dramatic change in how you feel. The key is to follow what I like to call the five R’s of thyroid medication: The right person, the right, drug, the right dose, the right time and the right way. Right Person. One of the most common questions I get from readers in the early stages of Hashimoto’s is, “Should I (or when should I) start taking thyroid medications?” While there is no single right answer to this question for everyone, I encourage you to consider thyroid medications as one of many tools, to give yourself energy and give your thyroid gland a break, so you can focus your resources on healing.Taking thyroid hormone replacement can be beneficial in all of the following scenarios:

• If your labs are outside of the functional range
• If you have thyroid symptoms
• If you have thyroid antibodies
• If you’ve had your thyroid gland surgically removed
• If your thyroid gland has ever been given a radioactive iodine treatment

Right Drug: Synthroid is the most commonly used medication for hypothyroidism. It was the most commonly prescribed medication in the United States multiple times over the last few years! Synthroid is a synthetic version of one of the main thyroid hormones produced by the thyroid gland. This medication is the treatment of choice for most endocrinologists and conventionally trained MDs. Generic versions include levothyroxine, Levoxyl, and Levothroid. Synthroid, and other synthetic medications, contain the thyroid hormone T4. The body needs to convert this hormone to T3, a more usable form. In theory, this conversion should happen in the bodies of most people. However, some people do not convert T4 to T3 properly, leading to thyroid symptoms despite taking T4. These people will feel much better (weight, energy, hair) on a medication regimen that contains both T3 and T4. This can be done by adding T3 to the regimen or by taking a T4/T3 combination medication such as the porcine thyroid-derived medications Armour, Nature- Throid, and WP Thyroid. Compounded pharmacists can also make
synthetic T4/T3. Here’s a post about thyroid medication options.

Right Dose: Most people who take thyroid medications feel best when they are dosed to a TSH between 0.5-2 mIU/mL. This is close to the “normal” range of TSH for a healthy person without thyroid disease. However, when you get your TSH tested through a medical lab, the medical labs may use outdated reference ranges.
Always ask for a copy of your lab tests to make sure you are in a good TSH range for you! Here’s a post about the TSH test and the best TSH range (a printable letter for your doctor is included).

Right Time: For most people, the best time to take thyroid hormone is first thing in the morning 30 minutes before eating, drinking, or taking other medications. Some people may advocate for taking T4 medications at bedtime, however, with T3 medications, this may lead to insomnia.

Right Way: Thyroid hormones interact with a variety of substances including other medications, supplements, food, and even coffee, and thus, are best absorbed when taken on an empty stomach with water, apart from other medications, foods or drinks. Calcium supplements, magnesium, and iron specifically, need to be spaced out by four hours. Of course, I recommend talking to your pharmacist to determine the best way to take thyroid medicationsfor you.


October 17, 2018
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