Your TSH (thyroid-stimulating hormone) level remaining around 3.6 after one month of Thyronorm (levothyroxine) 20 mcg is not unusual, as thyroid hormone adjustments often take several weeks to stabilize.

🩺 Understanding Your Situation

• Thyronorm (levothyroxine) replaces or supplements thyroid hormone to normalize TSH, T3, and T4 levels.
• A small increase from 3.4 to 3.6 TSH after one month may reflect the body's gradual response to the medication.
• Thyroid hormone levels and TSH often take 6–8 weeks or longer to show full effect after dose changes.

🩺 Next Steps

• Continue taking Thyronorm exactly as prescribed, ideally 1 hour before or 2 hours after meals, avoiding antacids, calcium, or iron supplements within 4 hours of the dose.
• Your doctor will likely repeat thyroid function tests after 6–8 weeks to assess if the dose needs adjustment.
• If symptoms persist or worsen, inform your endocrinologist (thyroid specialist) for further evaluation.

⚠️ When to Seek Medical Advice

• If you develop symptoms like significant fatigue, weight changes, palpitations, or mood changes.
• If you miss doses frequently or have concerns about medication timing or interactions.

Consult your endocrinologist for personalized dose adjustments and monitoring to achieve optimal thyroid hormone balance.