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Welcome back, Sue! Your story has really made me smile – well actually, stand up and cheer – so good to hear you’ve tamed it at last!
Thanks for sharing, and all the very best,
floraThanks so much for checking in, Sue!
Yes, a change in generic manufacturers can have an impact on absorption. Is there some type of code on the label from your pharmacy? My pharmacy uses a 3-letter code for generics, so (if the code is right), you should be able to tell if there is a switch.
So glad to hear that you are happy with your decision! If you get a chance, please stop by the “Success stories” thread in the “sticky” section at the top of the posts. It’s always inspiring for newbies to hear from those who have “been there, done that”!
Just a quick comment – I had issues 4-5 years ago getting TSH under control after RAI for Graves. My doc suggested I switch from generic Levothyrozine to Synthroid (brand) and my thyroid levels have been stable. I have heard anecdotal stories of people having the same experience when on the generic. Once they switched to Synthroid the variability goes away. It is definitely more expensive ($4/month vs $35/month for the brand) but it is worth it.
The manufacturer is on my prescription bottle, in my case it is Lannett. While absorption may vary between manufacturers, including Name brands, within the manufacturer, it remains stable. In fact, Lannett levothyroxine has a better absorption rate than Synthroid. One brand comes in a gelatin capsule which makes it less affected by things in your stomach, I think Tirosint. Anyway, things like proton pump inhibitors, like Prilosec, can interfere with absorption. Coffee can cut absorption by 25%, which is okay as long as you either drink coffee regularly and a slightly higher dose takes care of that, or you don’t drink coffee and you need lower dose. Steroids affect absorption definitely. Weight changes, if significant, change things too. That being said, people with normal thyroids have periods when they feel “off”. I tended to forget that because you don’t pay attention when you don’t have a health issue or aren’t on meds of any kind. Now I just ignore the stuff I would have ignored before Graves! Like you, having the thyroid gone was a relief and I am happy to feel normal. Glad you are doing well too.
Thanks for the greetings and the feedback on the variability of dosages from different manufacturers. I will definitely search the fine print on my prescription bottle when I get home to see if I can find any clues or evidence that I should be tracking.
Sue
Sue and Flora!
How NICE to see a couple “old timers” on the forum! Glad you are both slugging along. Same with me. Still eye issues with right eye closing, and have to have sunglasses at the ready at all times. But manageable. As mentioned in this thread, I found Synthroid a better choice for me that a generic. Yep, as PattiMeg says, it is much more expensive .Just a note today.
Shirley -
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