It is very common to see mild changes in cholesterol and blood sugar during menopause, as hormonal shifts affect your metabolism. Since you are taking Thyronorm (levothyroxine), we want to first ensure your thyroid levels are perfectly balanced, as this helps regulate lipids and glucose. For lifestyle, focus on a heart-healthy diet rich in fiber, vegetables, and lean proteins, and aim for 30 minutes of moderate daily exercise, like brisk walking. Managing stress and getting good sleep also play a big role. Please share these results with your doctor to monitor them together.

It is unlikely that pure paracetamol caused your increased heart rate. However, many cold remedies combine paracetamol with decongestants (like pseudoephedrine or phenylephrine). These decongestants can interact with your thyroid medication (Thyronorm), causing a rapid heart rate. This reaction is usually temporary and not dangerous, but you should stop taking that medication. Please check the ingredient label. For safe cold relief, you can take plain paracetamol, use saline nasal sprays, or try steam inhalation. Avoid multi-symptom cold products containing decongestants. If your rapid heart rate persists or you feel dizzy, please consult your doctor.

Since the Trapic 650 (tranexamic acid) has not stopped the bleeding after a three-day course, it is very important to consult your gynecologist for a proper evaluation. There is indeed a strong link between your thyroid and your menstrual cycle. Hypothyroidism can cause prolonged bleeding if your hormone levels are fluctuating, so your doctor may want to check your thyroid levels to see if your Thyronorm 150 mg (levothyroxine) dose needs adjustment. Please schedule an appointment soon.

Since your TSH is still 7 mIU/L, your current levothyroxine (Thyronorm) dose of 25 mcg may be too low and might need to be adjusted by your doctor. Additionally, progressive weight loss to 37 kg is atypical for hypothyroidism and requires careful evaluation. I highly recommend visiting your healthcare provider soon. They can discuss adjusting your levothyroxine dose and run tests to check for nutritional deficiencies, iron levels, or absorption issues that could be causing these symptoms.

It is very common to experience dizziness and low energy after a miscarriage due to sudden hormonal shifts, physical recovery, and the emotional toll. Her symptoms could also indicate that her thyroid hormone (Thyronorm) dose needs adjustment, as thyroid requirements change significantly during and after pregnancy. Additionally, it takes time for iron and vitamin B12 to fully restore her levels. I highly recommend consulting her doctor to check her thyroid (TSH) and blood levels.

It is absolutely safe and very important for your baby that you take Thyronorm (levothyroxine) as prescribed. Maintaining healthy thyroid levels is crucial for your baby's healthy development. Both Thyronorm and Duphaston (dydrogesterone) are safe to use during pregnancy. However, to ensure your body absorbs the thyroid medication properly, it is best to take Thyronorm on an empty stomach first thing in the morning with water, and wait at least 30 to 60 minutes before having breakfast or taking your Duphaston.