Yeah. 88mcg a day. I'm lucky because I don't have any other autoimmune shit going on. I take a pill once a day and that's it. Every few years my dose increases slightly. Of all the medications I've taken, which admittedly isn't a lot, this has had the fewest side effects (I cannot notice any). It makes me feel better, and that's it.
Dealt with it since a teenager. I take medication daily for it. Sucks cause I can't eat for an hour after taking or it won't work fully. I have the usual symptoms of weight issues and fatigue. I also have other endocrine issues on top of that. Dealt a bad hand I guess. Sorry you have to suffer as well OP.
FYI, the important thing is to be consistent. If you were to take levothyroxine and then eat immediately afterwards, less of the drug would be absorbed, so you doctor would need to increase your dose. However, as long as you were consistently eating after taking it, and eating the same type of food each time, your doctor could just titrate your dose up... and you could stay on that indefinitely (assuming your thyroid doesn't continue to lose function). Levothyroxine has a half of of around a week, so in 3 - 5 half lives (around one month later) you could get your bloodwork done and determine if you need to increase your dose.
The problems start when people are inconsistent, which results in variable absorption: taking on an empty stomach one day, eating food shortly after it the next day, forgetting to take it the day after that, and so on.
Can you say more about this? Does the hypothyroidism show in her bloodwork or is it mostly based on symptoms? I also had thyroid cancer and got the whole thing removed... I've always had a lot of fatigue but my bloodwork comes back good so maybe I'm just lazy.
Most of the symptoms are non-specific (fatigue, depression, dry skin, etc.), so diagnosis is based on bloodwork.
The bloodwork is typically for TSH and then TSH + T3 and T4 thereafter. Your pituitary releases TSH (thyroid stimulating hormone) to tell your thyroid to produce T3 and T4. It works in a negative feedback loop: high levels of T3 and T4 inhibit the release of TSH. So if your TSH levels are high, that could mean two things: i. subclinical hypothroidism: you have normal levels of T3 and T4, but higher levels of TSH are needed to get your thyroid gland to release sufficient amounts, ii. hypothroidism: you have low levels of T3 and T4, and higher levels of TSH are still insufficient to get your thyroid to release sufficient amounts.
You had your entire thyroid removed? Do you take anything to replace the hormones it would make?