A TSH of 6.51 indicates a mildly underactive thyroid. While a healthy diet and exercise support your overall well-being, they cannot cure an underactive thyroid. If you and your doctor decide treatment is necessary?especially if you have symptoms or are planning a pregnancy?a conservative starting dose like Thyronorm (levothyroxine) 25 mcg is often preferred over 50 mcg to gently support your system. I encourage you to discuss your symptoms and personal goals with your physician to decide the best path forward.

Your pelvic ultrasound helps monitor your ovaries for PCOD signs, like small cysts. Your sudden 8 kg weight loss is highly likely related to your elevated blood sugar (HbA1c 8.9), as high glucose can cause weight loss even while on metformin (Glyciphage SR). Your other medications?Krimsom 35, Tracnil, Thyronorm (thyroxine), and Cipcal?are working to balance your hormones, thyroid, and vitamin D. Please share these ultrasound results with your doctor soon. They will help adjust your diabetes care to stabilize your weight and blood sugar safely.

Since you have been taking Thyronorm (levothyroxine) 50 mcg for three years, these symptoms suggest your thyroid hormone levels may need to be re-evaluated. I gently recommend consulting your doctor to check your thyroid levels through a simple blood test. Often, a small adjustment to your levothyroxine dose can safely and effectively resolve these symptoms. Please be reassured that this is a very common experience and highly manageable once your levels are checked.

Since your thyroid remains underactive on Thyronorm 75 mcg, your doctor will likely increase your dose of levothyroxine (the active ingredient in Thyronorm) gradually, often by 12.5 to 25 mcg. Because thyroid hormone levels take time to stabilize, your doctor will check your blood again in 6 to 8 weeks after the adjustment. Please contact your prescribing physician so they can safely update your prescription.

Take your Thyronorm (levothyroxine) on an empty stomach with water, 30 to 60 minutes before breakfast. Please avoid soy, high-fiber foods, calcium, and iron supplements close to your dose, as they can block its absorption. As your thyroid levels stabilize with this daily medication, your metabolism will improve, which gently helps with weight management, eases fatigue, and reduces anxiety. Be patient with yourself, as it takes a few weeks to feel the full benefits.

On the morning of your blood test, it is generally best to hold your morning dose of Thyronorm and take it right after your blood is drawn to ensure your results are highly accurate. Routine thyroid tests do not require fasting, so you can eat and drink normally unless your doctor has ordered other fasting tests at the same time.