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TSH definitely lags ~ I’ve heard up to six weeks can pass after changing a dose before TSH really reads *true* ~ but there’s also the fact that switching doses can trigger a period where we feel up/down for a little while. It sounds like your doctor is doing the right thing ~ I would continue on that path until six weeks have gone by, then see what the lab results are, and proceed accordingly. It’s part of the particular torture of thyroid disease, all this waiting while we feel SO CERTAIN we know what to do immediately, but it’s necessary to make sure we aren’t always chasing a moving target. We have to be at one dose long enough for the body to fully metabolize our reaction to it, test, then change to accommodate. You can at least know for a certain fact that you will not spiral into the hyperthyroid heights you attained while sick. And for now, take it easy.
I had RAI last May, went hypo in Sept 2009. I have been on levoxyl since then. Slowly going up toward normal levels. My T-4 is now normal with my last blood work about 4-5 weeks ago but my tsh was still 14. Doc raised my levoxyl to 112 mcg. I started having tremors etc. familiar feelings. Called and he said take 112 4 days a week and 100 3 days a week. I still feel off. Is it possible that my tsh is really on that long of a lag that the 112 pushed me to slightly hyper again in a few weeks? I had a bad morning this morning with tremors, hot and some urgent bowel feelings; all too familiar for my comfort level. I don’t know whether to stick out with the 3/4 day regime or ask to go back to 100. I don’t know that I can take this for another 5 weeks. I felt so much better about a month ago and thought I was getting so close to stopping changing doses. Every time I change a dose I feel so bad for a few days. I think I am one of those people who are very aware of the little changes in levels. I know some of you here say that you don’t even notice a change when your dose is adjusted. I know that as you get closer to normal it’s kind of an art/guessing game as to what is normal for each person.
Any guidance or experience would be appreciated.
ewmb
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