KatFromMD
Ex Member
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If your doc said to cut the pill, I'd guess that is fine, but you should take it first thing in the morning, and take it at the same time every day. Also, to make sure you're getting a consistent dose, you should take it on an empty stomach and wait an hour (or at least a half hour if you're starving) before you eat, so that nothing interferes with absorption.
Some of the most noticeable symptoms of low thyroid are fatigue, lack of energy, trouble maintaining body temperature (generally always feeling cold), weight gain and depression. I'm sure there are plenty of others, but I'm not thinking of them off the top of my head. Thyroid hormone is basically like the gas pedal in your car. If your body is making more of it, it's speeding up your system (metabolism). If your body is making less, you just don't have enough juice. When you supplement a low thyroid with synthetic hormone, you're just helping to rev the engine up a bit. Like I said, one of the most obvious things it helps me with is depression, which I get pretty noticeably when my levels are low. (A couple of times I've been through a number of antidepressants - that I NEVER tolerate well - only to find that what I really needed was thyroid meds.)
I do think you might want to see an endocrinologist, rather than just a GP. I'm my experience, GPs just don't know enough about it to properly medicate you. You should have, at minimum, both your T4 (thyroxine, the primary thyroid hormone) and TSH levels tested, because they form a feedback loop, and without both of them you don't really know what your body needs. For instance, my thyroid levels don't normally dip all that low, but my TSH (Thyroid Stimulating Hormone) has been known to go very high. In other words, my body feels that it needs more thyroid hormone, and it sends out TSH saying "make more, make more", but my body just barely ekes out enough to be in the normal range. My body sends out more TSH "make more", but I can't make more. This is an indication that I need thyroid supplementation, even if technically my T4 levels are in the normal range. You need to know these levels, and have someone who knows how to interpret them, to really get the full picture of what's going on.
Unless your thyroid is seriously low, you don't HAVE to be on thyroid supplements. For post-menopausal women, it is actually "normal" to have "low" thyroid, as the metabolism slows down. However, you might feel better with some supplementation. As I said before, the only side effects I ever had was when I was taking too much of the stuff.
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