1. < Diabetes & Endocrine System

HOW MUCH SYNTHRIOD?

Posted by joedog @joedog, Jul 20, 2022

TSH 0.016. But cant see thyroid dr. for 3 more months. How much synthroid should i be on now until i can see DR.

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sueknox | @sueknox | Jul 21, 2022

What was your original diagnosis? A TSH of 0.016 is hyperthyroid (low TSH). Synthroid is for hypothyroid (high TSH). If that TSH is correct, you should be on Methimazole, not Synthroid. I have Graves Disease, am hyperthyroid, and just went from TSH of 0.02 to 0.39 in 30 days on 5 mg Methimazole.

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1 reply
joedog | @joedog | Jul 21, 2022
In reply to @sueknox "What was your original diagnosis? A TSH of 0.016 is hyperthyroid (low TSH). Synthroid is for..." + (show)
@sueknox

What was your original diagnosis? A TSH of 0.016 is hyperthyroid (low TSH). Synthroid is for hypothyroid (high TSH). If that TSH is correct, you should be on Methimazole, not Synthroid. I have Graves Disease, am hyperthyroid, and just went from TSH of 0.02 to 0.39 in 30 days on 5 mg Methimazole.

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Reading was about same 2 months ago, Was on 175 mcg Synthroid, dr. asst. dropped down to 150 mcg. Nothing was mentioned about Methimazole. Going back to dr. to see whats going on,, thanks

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linh | @linh | Jul 21, 2022

Does your doctor have a online portal that you can message and ask about your latest lab results? Or better yet a nurse in their practice that you can speak with today and request that your results get reviewed by your doctor? In my own experience (in California) as long as you have had some sort of visit with your doctor, be it telemedicine or in person within the past year the doctor has advised me (based on new lab results) without a more formal appointment. This is barring symptoms have not changed significantly since last being seen.
For a fast response you could try both calling and messaging. If that doesn't get their attention your Pharmacist may be able to help, as some have considerable experience contacting doctors offices and have mastered that art.

Even if your doctor is away for some reason another physician in their practice should be available to fill in for them. My understanding is your lowest TSH level will be obtained while lasting in the early morning (before you have taken any Synthroid for the day).

That is my best advise, run this by your doctor's office first if at all possible. Do they have a Same Day Clinic attached to their practice? Or even does your healthcare plan allow you to be seen by Doc In the Box? Someone with a license behind their name is your best bet, and I don't have one!

REPLY
1 reply
linh | @linh | Jul 21, 2022
In reply to @linh "Does your doctor have a online portal that you can message and ask about your latest..." + (show)
@linh

Does your doctor have a online portal that you can message and ask about your latest lab results? Or better yet a nurse in their practice that you can speak with today and request that your results get reviewed by your doctor? In my own experience (in California) as long as you have had some sort of visit with your doctor, be it telemedicine or in person within the past year the doctor has advised me (based on new lab results) without a more formal appointment. This is barring symptoms have not changed significantly since last being seen.
For a fast response you could try both calling and messaging. If that doesn't get their attention your Pharmacist may be able to help, as some have considerable experience contacting doctors offices and have mastered that art.

Even if your doctor is away for some reason another physician in their practice should be available to fill in for them. My understanding is your lowest TSH level will be obtained while lasting in the early morning (before you have taken any Synthroid for the day).

That is my best advise, run this by your doctor's office first if at all possible. Do they have a Same Day Clinic attached to their practice? Or even does your healthcare plan allow you to be seen by Doc In the Box? Someone with a license behind their name is your best bet, and I don't have one!

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Correction: Don't quote me on the lowest TSH level will be obtained while fasting in the early morning. I tried to look it up but couldn't relocate that information. It may be just the opposite because as I now recall patients get tested as early as possible in order to register a higher reading and receive a higher dose. This is considered a patient to patient tip! This is a perfect example of why seeing a doctor for solid advice is wise.

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