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Doctor insights on: Algorithm Hypothyroidism Treatment

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How can I get treatment for hypothyroidism?

How can I get treatment for hypothyroidism?

See your doctor: Your primary care doctor should be able to make a diagnosis and usually treat this condition. An endocrinologist is always appropriate for this also. ...Read more

Dr. Su Fairchild
1,238 doctors shared insights

Hypothyroidism (Definition)

When the thyroid gland is overactive and too much thyroid hormone is produced, which speeds up metabolism. This results in weight loss, a quick heartbeat, sweating, nervousness, ...Read more


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How much can treatment for hypothyroidism cost?

How much can treatment for hypothyroidism cost?

Can be inexpensive: This is a serious disorder that must be treated . Cost is minimal impact great see a md. ...Read more

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What might cause treatment-resistant hypothyroidism?

What might cause treatment-resistant hypothyroidism?

Please define: Hi. By what do you mean "treatment-resistant"? Is your dose too low? That's not treatment resistant, that's just being under treated. Has your thyroid function been normalized on thyroid hormone replacement but you still feel symptoms? That's not "treatment-resistant", that's just assigning symptoms to the wrong thing. We need more information. I doubt you have a thyroid hormone receptor defect. ...Read more

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What are common side effects that come with hypothyroid treatment?

What are common side effects that come with hypothyroid treatment?

Feeling better: The treatment of hypothyroidism with levothyroxine is replacing what your thyroid should be making, and you should feel better than when you were hypo. If the levothyroxine dose is properly adjusted, there should be no side effects. ...Read more

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Please suggest what foods should be avoided with hypothyroidism treatment?

Hypo-foods: In general there are no foods that need to be avoided for hypothyroidism, however in some people who have hashimotos autoimmune thyroiditis associated with their hypothyroidism it's best to avoid gluten containing products. ...Read more

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Is it normal to have a very low basal temp after one treatment for hypothyroid?

Is it normal to have a very low basal temp after one treatment for hypothyroid?

Yes: It's takes several weeks of daily dose intake to achieve reasonable thyroid levels in your system. Low basal body temperature is indicative of under treatment in this context. ...Read more

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How long does it take for symptoms to get better with treatment for hypothyroidism?

How long does it take for symptoms to get better with treatment for hypothyroidism?

Variable based on Dx: Based upon other baseline medical factors each patient is different. Cause of how the disorder happened needs to be explored.Often it cannot be identified but sometimes it can as well as other associated conditions. Probably need an endocrinologist consult. Make sure a complete history and physical is done including family history. Also blood pressure sitting and then standing. Checks autonomic ns. ...Read more

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Can hypothyroidism go away? Is it possible for it to improve without treatment? I was diagnosed but never put on medication.

Can hypothyroidism go away? Is it possible for it to improve without treatment? I was diagnosed but never put on medication.

Rarely, yes: Hi. The most common type of hypothyroidism, Hashimoto's, is permanent, and needs to be treated. In subacute and acute thyroiditises, the hypothyroid phase is usually self limited and thyroid function returns to normal. It's very easy to tell if you remain hypothyroid by following your thyroid labs over time. If you're still hypothyroid, I would recommend treating it. ...Read more

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For someone who is hypothyroid, how do you get treatment to alleviate the symptoms and not just prescribe the standard dose?

For someone who is hypothyroid, how do you get treatment to alleviate the symptoms and not just prescribe the standard dose?

Follow TSH: There is no standard dose for treating hypothyroidism. Your dose is determined by the results of your thyroid blood test. Once your TSH is in the correct range (0.4 to 2.0) then you are on the correct dose. Symptoms take time to resolve, even after your thyroid level is normal. ...Read more

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I've been treated for hypothyroidism for 10yrs. After relocating & stopping treatment, new dr says im now @ "normal" level. How is that possible?

I've been treated for hypothyroidism for 10yrs. After relocating & stopping treatment, new dr says im now @ "normal" level. How is that possible?

Lab values: Most docs only look at lab values and not how person feels with those values. If he only checked a tsh, then there is more to thyroid optimization like ft4 and how you convert to ft3. Go to a4m.Com and use directory function to find a local functional medicine doctor to help you fully test your thyroid levels to get to optimal health. For a layperson site got to www.Stopthethyroid madness.Com. ...Read more

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Was diagnosed with hypothyroidism but refused treatment. I get checked regularly still and this time test came back normal? What could cause this?

Was diagnosed with hypothyroidism but refused treatment. I get checked regularly still and this time test came back normal? What could cause this?

Hypothyroidism: Hypothyroidism refers to an underactive thyroid which is confirmed by lab tests showing an elevated TSH. If TSH is just barely abnormal, treatment could be considered based upon symptoms http://goo.gl/L0oOTB. However, lab tests aren't 100% accurate - there's always some degree of uncertainty so if TSH is barely abnormal & you feel perfectly normal w/o symptoms, it's ok to repeat & recheck w/o meds ...Read more

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I've recently begun treatment for hypothyroidism. I was wondering if there were any foods or exercises or exercises, etc I could do as well? Thank you

I've recently begun treatment for hypothyroidism. I was wondering if there were any foods or exercises or exercises, etc I could do as well? Thank you

No specifics : There are no specific diet or exercise necessary for ppl with hypothyroidism, but if you were hypothyroid for a long time before your diagnosis and treatment, perhaps you have gained some weight and maybe cholesterol is higher than optimal? If so, eat balanced diet to maintain bmi 20-25, reduce bad fats, choose good oils, minimize alcohol, and if overweight, consider screening for diabetes. ...Read more

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What can cause treatment-resistant hypothyroid?

Need more informatio: Could be you are not on a large enough dose (most adults need 75-150 mcg/day) or that you are not taking it consistently (you can double up next day if you miss a dose). Difficulty absorbing the thyroid hormone in your gut is the least common cause). Would need to know your dose and thyroid test results before treatment and most recently. ...Read more

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How long does hypothyroid treatment usually take to kick in and take away the symptoms?

it depends: The doctor will usually start you on a low dose of replacement and increase it until your thyroid function tests are in the normal range. It depends how long that takes. ...Read more

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I have been hypothyroid for 12 years on treatment , in normal range yet I still have lots of symptoms what can I do ?

It depends,,,: It depends on what your symptoms are and also on your readings, as in how normal are your ranges. By this I mean how far into the normal range are the readings. They could be in the low normal range and you could still have symptoms of hypothyroidism. You're also on other meds which might interact with your thyroid med and also cause other symptoms. So it's a good idea to see your Dr. to check ...Read more

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Doctors, how much would any kind of hypothyroidism treatment cost?

Inexpensive: I believe levothyroxine is on the $4 list at many pharmacies. I see it is on the list at target. ...Read more

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Did anybody suffer from hypothyroidism lost weight after treatment?

Almost everyone: Almost everyone will lose weight after their hypothyroidism has been treated with the proper level of brand name replacement and their levels have been restored to normal. You still need to eat less than you burn off, but now you'll at least have a fighting chance. ...Read more