Yes, your elevated TSH of 10.36 indicates your underactive thyroid is not yet fully controlled with your current 25 mcg dose of Thyronorm (levothyroxine). An underactive thyroid frequently disrupts menstrual cycles, leading to prolonged or frequent bleeding. It is very reassuring that your ultrasound and hemoglobin are normal, as this rules out structural issues. This suggests the hormonal imbalance is the primary cause. I highly recommend sharing these results with your doctor, as they will likely need to adjust your levothyroxine dose to help bring your TSH back to normal, which should help regulate your periods.

Yes, an elevated TSH of 24.5 mIU/L means your thyroid is still underactive, which can indeed lead to fluid retention (foot swelling) and shortness of breath. Since you are currently taking Thyronorm (levothyroxine) 200 mcg, your doctor will likely want to check your thyroid levels, review how you take your medication to ensure proper absorption, and adjust your dosage. Please contact your doctor promptly to evaluate these symptoms and get you feeling much better.

Along with your Thyronorm (levothyroxine), taking your medication consistently first thing in the morning on an empty stomach with water?waiting 30 to 60 minutes before breakfast?is key. To help keep your TSH stable, try to eat a balanced diet, stay active, and manage stress. Crucially, do not take calcium, iron supplements, or eat soy products within 4 hours of your dose, as they can interfere with medicine absorption. Also, limit large amounts of raw cruciferous vegetables like cabbage or broccoli.

I understand how deeply you want to welcome a healthy baby, especially after your difficult losses. It is highly advisable to wait before attempting pregnancy. First, your thyroid needs time to stabilize on levothyroxine (Thyronorm); we want your TSH levels to be ideally under 2.5 mIU/L, which usually requires rechecking after 6 to 8 weeks of treatment. Second, it is crucial to complete your spiramycin (Rovamycin Forte) course and ensure your infections are fully resolved. Finally, further evaluation for your recurrent miscarriages will help us create the safest plan for you. Please discuss these steps with your obstetrician first. You are doing great taking these proactive steps.

Daily thyroid medications, like levothyroxine, replace essential hormones that your body can no longer produce on its own. Homeopathic remedies do not contain these vital hormones. Stopping your prescription or reducing your dose can cause your thyroid levels to drop, leading to extreme fatigue, weight gain, and other health issues. For your safety, please do not alter your medication dose. I gently encourage you to discuss your health goals with your doctor, who can safely monitor your thyroid levels and help you feel your best.

Since you are experiencing persistent fatigue, swelling, and mood changes on levothyroxine (Thyronorm) 75 mcg, it is important to consult your doctor. They will likely recommend a blood test to check your thyroid levels (TSH, Free T3, and Free T4) to see if your dose needs adjusting, as post-radioactive iodine patients often require dose changes. Checking for vitamin deficiencies (like B12 or D) and kidney function is also helpful. Managing occupational stress through gentle lifestyle changes and discussing these mood symptoms with your doctor will support your recovery.