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.

Yes, it is completely normal. A typical menstrual cycle can range anywhere from 21 to 35 days, so your 21-to-27-day cycle is well within a healthy, normal range. Your daily thyroid medication, Thyronorm (levothyroxine), works to balance your thyroid hormones, which actually helps regulate your menstrual cycle. It is a very reassuring sign that your body is responding well to the therapy. Please continue taking your medication as prescribed, and mention this to your doctor at your next routine check-up for peace of mind.

It is completely fine to take your Thyronorm (levothyroxine) before brushing your teeth. The key is to take it on an empty stomach with a full glass of water. To ensure your body absorbs the medication properly, we highly recommend waiting 30 to 60 minutes before having breakfast, coffee, or tea. Waiting a full hour is ideal for the best results, but 30 minutes is the minimum. This simple routine helps keep your thyroid levels stable and healthy.

Your results suggest that your body currently has a bit too much thyroid hormone. When the dose of levothyroxine (Thyronorm) is higher than what your body needs, it causes your TSH to drop and your T3 and T4 levels to rise. This indicates that your current 100 mcg dose is likely too high for you right now. You will most likely need a downward adjustment of your medication. Please share these results with your doctor so they can safely prescribe the correct new dose for you.

Stopping thyroid hormone replacement (like Thyroxine or Thyronorm) can cause your hormone levels to drop, which might lead to symptoms like fatigue or feeling cold. Since you have been off the medication for six months, your recent blood tests (specifically TSH and Free T4) are very important. They show exactly how your body is currently managing on its own. Please share these results with your doctor. They will help safely determine if your body needs a little support again or if your thyroid has recovered, ensuring we get you feeling your best.

I completely understand your concern about whether your 100 mcg Thyronorm (levothyroxine) dose is correct. To give you the most accurate advice, I would need to see your specific thyroid lab results, particularly your TSH levels. Please do not lower your dose or stop taking your medication on your own, as sudden changes can cause your thyroid levels to fluctuate and make you feel unwell. I highly recommend sharing your test results with your doctor.