Fifteen days is a very short time for your body to adapt. Your medications play a key role here; sertraline and etizolam can sometimes cause mild fluid retention or temporarily affect metabolism. Additionally, Thyronorm (levothyroxine) indicates a thyroid condition; if your hormone levels are still stabilizing, weight loss can be slower. Also, 90 minutes of daily cardio is highly intense and can cause temporary muscle inflammation and water retention, masking fat loss. Your body is just adjusting. Please be patient, stay hydrated, and consider discussing a thyroid check with your doctor.

Levothyroxine (thyroid hormone) is best absorbed on an empty stomach. Taking it in the late morning, especially near food or coffee, can cause inconsistent absorption and lead to fluctuating TSH levels. For the best results, try taking it first thing in the morning with water, at least 30 to 60 minutes before breakfast. Diet-wise, there is no special diet required, but it is highly recommended to avoid taking calcium, iron supplements, or eating soy within four hours of your medication, as these can block its absorption.

Yes, all three medications are safe and highly appropriate. Continuing Thyronorm (levothyroxine) is crucial for your baby's development and your health; your doctor will likely monitor your thyroid levels regularly. Follinz (folic acid) is a vital vitamin that helps prevent birth defects, and Naturogest (progesterone) provides essential hormonal support to keep the pregnancy stable and safe. Please reassure your wife that taking these as prescribed is the best way to care for herself and the baby.

The i-pill (levonorgestrel) contains a high dose of hormones which can cause temporary fluid retention and bloating, mimicking rapid weight gain. This is temporary and typically resolves within a few days. While you are taking Thyronorm (levothyroxine) for your thyroid, a single dose of the emergency contraceptive will not cause permanent weight gain or disrupt your thyroid function long-term. If you continue to experience weight changes or feel unwell, it is a good idea to have your thyroid levels checked by your doctor to ensure your dosage is still correct.

Your symptoms of weight gain and irregular periods, combined with a TSH of 5.540, suggest your current 25 mcg dose of Thyronorm (levothyroxine) may need to be increased. Since it has been a year since your last checkup, I gently encourage you to consult your doctor. They can safely adjust your dose to bring your levels back into balance and help you feel like yourself again. Please be reassured that fine-tuning your dosage is a normal part of managing thyroid health.

A temperature of 99?F, especially in the evening, is often a normal physiological variation rather than a true fever. Your fatigue and mild temperature fluctuations could be related to your body still adjusting to levothyroxine (Thyronorm), or your dose may need a slight adjustment. Sometimes, a mild, unrelated viral infection can also cause this. I suggest tracking your temperature for a few days and sharing this log with your doctor. They can check your thyroid levels (TSH) with a simple blood test to ensure your dose is perfect for you.