Yes, you should absolutely continue taking your Thyronorm (levothyroxine) daily without any interruption during your menstruation. Your thyroid hormone plays a vital role in regulating your menstrual cycle. Stopping or skipping your medication during your period can cause your hormone levels to fluctuate, which might actually lead to irregular periods or make you feel unwell. Please continue taking your tablet every morning on an empty stomach, just as you normally do.

Your blood sugar reading of 81 mg/dL after eating is actually within a normal, non-diabetic range. However, blackouts are serious and need prompt medical evaluation. Since you take Depin (nifedipine) and Thyronorm (levothyroxine), these symptoms might be linked to blood pressure fluctuations or thyroid levels rather than diabetes. Given your history of preeclampsia, it is very important to have your cardiovascular health monitored. Please consult your doctor soon so they can check your blood pressure, run blood tests, and safely review your medications to ensure you are feeling your best.

While it is common to see symptoms fluctuate as your body adjusts, please do not increase your dose of Thyronorm 50 (levothyroxine) on your own. Thyroid medication dosage must be precisely tailored based on blood tests, such as your TSH levels. Changing your dose without medical supervision can cause unwanted side effects. I highly recommend contacting your doctor to check your thyroid levels so they can safely adjust your prescription if needed. In the meantime, staying well-hydrated and increasing dietary fiber can help bring you some gentle relief.

For most people, hypothyroidism does require lifelong treatment with levothyroxine (such as Thyronorm) because the body cannot make enough thyroid hormone on its own. However, there is great reassurance: once your thyroid levels are stabilized with the correct dose, your metabolism should return to normal. This means your healthy dietary efforts will become much more effective. If weight loss still feels stalled, please consult your doctor.

For regular check-ups while taking Thyronorm (levothyroxine) 75 mcg daily, you should consult either an endocrinologist (a hormone specialist) or a general physician. Both can comfortably manage your routine monitoring. I suggest getting a fresh Thyroid Function Test (TSH, Free T3, Free T4) blood test done just before your visit so the doctor has the latest updates to review your dosage. Please continue taking your medication daily as prescribed.

While an occasional drink is generally safe with your thyroid medication (Thyronorm/levothyroxine) and iron supplement (Fefol), it is best to avoid alcohol while taking your antibiotic, Doxt-SL (doxycycline). Alcohol can reduce the effectiveness of doxycycline and increase stomach upset or dizziness. Once you finish your course of the antibiotic, having an occasional, moderate drink should be fine, but do try to space it away from your daily medications. Please take care, and don't hesitate to reach out if you have more questions!