Since you are experiencing insomnia and fatigue, the first step is ensuring you take your medication first thing in the morning on an empty stomach, at least 30 to 60 minutes before breakfast. This helps prevent sleep disruption later. Please contact your doctor to discuss these symptoms. They will likely want to check your thyroid levels in a few weeks to see if your 50 mcg dose needs a slight adjustment.

Feeling faint after dinner can happen when blood pressure drops as blood flows to your digestive tract. However, your swollen feet, abnormal urine test, and positive ANA test require careful medical evaluation. These findings, combined with your history of kidney stones, could indicate kidney strain or an autoimmune response. Additionally, your Thyronorm (levothyroxine) dose may need to be checked, as thyroid levels directly impact your blood pressure and fluid balance. Please share these results with your doctor promptly for a safe, comprehensive evaluation.

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A negative Anti-TPO test is reassuring news, as it suggests your thyroid issue is likely not caused by an autoimmune condition. However, your rising TSH (from 5.54 to 6.68) indicates your thyroid is still struggling a bit, even on a low dose of Thyronorm (levothyroxine). Stopping your medication can cause your TSH to rise further over time, even if you feel well right now. I gently encourage you to discuss these results with your doctor to safely plan the next steps for your health.

Taking Thyronorm (levothyroxine) alongside Xamic MF (tranexamic acid and mefenamic acid) does not permanently impact your fertility. In fact, keeping your thyroid levels stable with levothyroxine is highly beneficial for getting pregnant. While mefenamic acid can occasionally cause a temporary, reversible delay in ovulation if used continuously, short-term use during your period is not a concern. I highly recommend discussing your pregnancy plans with your doctor so they can closely monitor your thyroid levels.

This is a very common and manageable shift. Your TSH of 12 uIU/mL suggests your body needs a bit more thyroid hormone than your current 25 mcg of Thyronorm (levothyroxine) is providing. Typically, a doctor would recommend safely increasing your daily dose?often to 37.5 mcg or 50 mcg?and rechecking your TSH in 6 to 8 weeks. Since you cannot contact your regular endocrinologist, any primary care doctor or a telemedicine physician can safely guide this adjustment and write the updated prescription for you.