Online Facilitator
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    Hello – Have you had labs done recently? Muscle cramps can be caused by several different issues, but some patients notice muscle cramping/aches when hypO.

    Also, when you do get labs done, make sure that your doc is aware of the latest guidelines from the American Thyroid Association / American Association of Clinical Endocrinologists (available in the “Treatment Options” thread in the announcements section of this forum) regarding the importance of using Free T4 and *not* TSH to determine when to start replacement hormone. TSH can remain suppressed for quite some time, so it is not a good benchmark for dosing early in the process.

    Take care!