A TSH level of 16 indicates your thyroid is underactive. To help it work properly, you will likely need levothyroxine, the generic name for Thyronorm. The exact dose of Thyronorm you need is highly personalized. It depends on factors like your weight, age, and overall health, and is typically started at a low dose and adjusted gradually. Please consult your doctor, who will look at your complete health profile to safely prescribe the perfect starting dose for you. We will get this balanced for you soon.

Yes, taking Thyronorm (levothyroxine) can sometimes cause a fast heart rate or palpitations, even while sleeping. This usually happens if the dosage is a bit higher than what your body currently needs, causing mild symptoms of an overactive thyroid. Please don't worry, as this is highly manageable. I gently recommend contacting your doctor so they can check your thyroid levels with a simple blood test and adjust your dose if needed.

Starting Thyronorm 50 (levothyroxine) is a very safe and common step to balance your thyroid levels. Since it mimics your body's natural hormones, it is generally very well tolerated. In the first few weeks, you might gradually notice improvements in your energy, mood, and overall well-being as your body adjusts. It is best taken first thing in the morning on an empty stomach with a glass of water. We will monitor your progress with simple blood tests in 6 to 8 weeks to ensure the dose is perfect for you. Take it one day at a time.

To determine if your Thyronorm (levothyroxine) 100 mcg dose is still right for you, your doctor will primarily rely on a simple blood test called a Thyroid Stimulating Hormone (TSH) test, sometimes alongside a Free T4 test. This is typically checked once a year when you are stable. Your doctor will also check how you are feeling, looking for symptoms like fatigue, weight changes, or feeling cold. Please share any changes you have noticed with your doctor; a simple, safe adjustment to your dose can easily be made if needed to keep you feeling your best.

While an occasional drink is generally safe with your thyroid medication (Thyronorm/levothyroxine) and iron supplement (Fefol), it is best to avoid alcohol while taking your antibiotic, Doxt-SL (doxycycline). Alcohol can reduce the effectiveness of doxycycline and increase stomach upset or dizziness. Once you finish your course of the antibiotic, having an occasional, moderate drink should be fine, but do try to space it away from your daily medications. Please take care, and don't hesitate to reach out if you have more questions!

On the morning of your blood test, it is generally best to hold your morning dose of Thyronorm and take it right after your blood is drawn to ensure your results are highly accurate. Routine thyroid tests do not require fasting, so you can eat and drink normally unless your doctor has ordered other fasting tests at the same time.