Since your TSH is 5.8, it is best to optimize your thyroid levels before conceiving. For a safe pregnancy, doctors generally recommend keeping TSH under 2.5 mIU/L. Your Thyronorm (levothyroxine) dose may need a slight adjustment to reach this target. While levothyroxine is highly safe and essential during pregnancy, please consult your doctor regarding homeopathic treatments, as they are not standardized. Before conceiving, you should get a Free T4 and TSH blood test. With your Hashimoto's under close monitoring, you can absolutely look forward to a healthy, happy pregnancy.

This 50mcg strength is a very common dose used to manage an underactive thyroid (hypothyroidism). It can be prescribed as an initial starting dose or maintained for many years depending on the person's thyroid hormone levels. The dosage only reflects her body's current daily requirement for thyroid hormone, not how long the condition has been present. To get a better timeline, reviewing her past medical records and blood test history with a doctor would be the best approach.

It is reassuring to know you are addressing your low iron and vitamin B12 levels. Your prescribed Ivcros (iron sucrose) and Methycobal (methylcobalamin) injections are highly appropriate for these deficiencies. There are no direct interactions between these injections and your Thyronorm (levothyroxine). Please continue taking Thyronorm on an empty stomach every morning. While correcting your deficiencies should help with headaches and sleep, your stomach pain and left-sided chest burning?which could be acid reflux?need a prompt evaluation by your doctor to ensure your safety and peace of mind.

Starting Thyronorm (levothyroxine) can sometimes cause temporary hair shedding during the first few weeks of treatment. This is a known, temporary response as your body adjusts to the corrected thyroid hormone levels, and it is not a sign of an allergic reaction. A true allergic reaction would typically involve hives, itching, or swelling. Please be reassured that this shedding is usually temporary, and your hair should regrow normally once your hormone levels stabilize.

It is very important that you do not stop taking your levothyroxine (Thyronorm). Your levels are normal precisely because the medication is doing its job of replacing the thyroid hormone your body cannot make on its own. If you stop taking it, your thyroid levels will likely drop again, and your symptoms will return. Please continue taking your daily dose as prescribed, and discuss any potential dose adjustments with your doctor, who will monitor your blood levels regularly.

A TSH of 9 indicates her underactive thyroid is currently under-controlled, and she likely needs an increase in her Thyronorm (levothyroxine) dose. However, please do not alter her dosage on your own. For adults aged 65, thyroid hormone adjustments must be made very gradually and carefully to safeguard her heart. Her doctor will likely recommend a small, safe dose increase (such as to 62.5 mcg or 75 mcg daily) and recheck her blood levels in 6 to 8 weeks. Please consult her healthcare provider to obtain the correct, safe prescription adjustment.