This sensation of a 'skipped beat' could indeed be linked to her thyroid hormone replacement, Thyronorm (levothyroxine). If her dose of 150 mcg is slightly higher than her body currently needs, it can mimic an overactive thyroid, causing mild heart palpitations, especially upon waking. Her other medication, Gluconorm SR (metformin), is less likely to cause this. I highly recommend scheduling a simple blood test to check her thyroid levels (TSH) and consulting her doctor, who can safely adjust her dosage if needed.

Even when levothyroxine keeps your thyroid hormones in range, persistent digestive issues and insomnia can be linked to conditions like slow stomach emptying (gastroparesis), Irritable Bowel Syndrome (IBS), or gut flora imbalances. Sometimes, how your body absorbs the medication plays a role too. I highly recommend discussing these symptoms with a gastroenterologist to explore these possibilities.

A 12.5 mcg dose is very low, and it is very common to need adjustments after your first follow-up tests. Please do not change or stop your medication on your own. I highly recommend sharing these results with your doctor. They will guide you on whether to safely increase your dose to bring your thyroid levels back into balance.

Managing borderline HbA1c while on Thyronorm (levothyroxine) is highly achievable. Focus on a diet rich in fiber, lean proteins, and whole grains, while reducing refined sugars and processed carbs to help stabilize blood sugar. For fitness, aim for 150 minutes of moderate exercise weekly, like brisk walking or strength training, which improves insulin sensitivity. Since stress increases cortisol and blood sugar, practicing daily mindfulness, deep breathing, or yoga can be highly beneficial. Ensure you take your levothyroxine on an empty stomach for optimal thyroid function, as balanced thyroid hormones support metabolism.

To safely tell these causes apart, your doctor will first focus on your heart. They will likely perform an electrocardiogram (ECG) and blood tests to rule out cardiac issues. This is especially important since thyroid medication can sometimes affect heart rhythm. If your heart is healthy, your doctor will look into gastrointestinal causes, like acid reflux, or see if your current medications need adjusting. Please seek medical evaluation promptly to ensure you are safe and get the right relief.

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.