Swing States: harris is terrified , she’s loosing many in the old demographic

[chiang mai]

I has a total thyroidectomy one year ago and it now seems almost impossible to manage TSH and levothyroxine hormone dosage, without six weekly blood tests.

 

Following the op in November I started at 350 mcg (per week) and went to 525 mcg then to 700 mcg by January.

In April I went from 700 mcg to 650 mcg per week because TSH was 0.29 

In July I went from 650 to 675 mcg because TSH was 2.73

 

Six weeks later my TSH was excellent at 1.73, my target is sub 2.50.

 

Now, six weeks on from my last check, my TSH has gone to 4.33 and is once again out of range.

Today I've reverted to 700 (plus a one time 0.12 mcg to try and bring it back in range) and I guess I'll check again in 6 and 12 weeks.

(FT4 is 1.25).

 

My weight has been stable throughout.

 

Note: I work on the basis of weekly mcg intake rather than daily because of pill size availability, which means splitting tabs.

 

Has anyone else encountered this issue? I imagine the April and July adjustments resulted from the settling in period and the body adjusting to the new ways of working? 

 

 

 

 

Edited 2 hours ago by chiang mai

[JimHuaHin]

Sorry, I do not share your condition.

 

I presume that you are consulting a good endocrinologist.

 

I was diagnosed with hypothyroidism about 20 years ago.   About 8 years ago I began a 4 year period of moving between hyper- and hypothyroidism, now stabilised at the former.  During the 4 year period of oscillation I had 3-monthly blood work done to monitor changes.

 

Considering the half-life period of the medication you are taking, would it not be better to work on a 2-day period/cycle of dosage variation rather than a weekly basis (which is what I had to do for a period of time due to the medication pill dosage requirement and the very small pill size making pill splitting difficult)?

 

Good luck.

 

I hope someone here can offer more concrete advice.