Hypothyroidism is a condition where the thyroid fails to produce a sufficient level of hormones. Also known as underactive thyroid, people with this disorder may experience symptoms like fatigue, unintended weight gain, muscle weakness, and dry skin, among other symptoms. Hormone replacement therapy is highly effective, but patients should know what to expect.
When treating hypothyroidism, patients often receive a synthetic version of thyroid hormone called levothyroxine (which supplements the lack of thyroxine that the thyroid typically makes). This medication is taken on a daily basis in pill form. Many people with hypothyroidism must take levothyroxine for the rest of their lives.
Doctors usually take a conservative approach to treatment, which means your initial dose might be quite low. Over time and with regular blood testing, the dose can be increased. The goal of treatment is to find the smallest appropriate amount of synthetic hormone to remedy symptoms, which can reduce the chance of possible side effects and complications.
Your doctor will provide specific instructions to help you effectively manage hormone replacement therapy. The following general guidelines are also beneficial:
When you take the medication can also impact how well your treatment works. You may be instructed to take replacement hormone one hour prior to eating in the morning or you may be advised to take it later in the day, up to three hours after your last meal. If you have any questions, don’t hesitate to reach out to a medical professional.