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I had my thyroid removed 5 years ago. Since then I haven't gone more than a year without having to change my levo dose. For the past 2.5 years my TSH results have been relatively consistent, with the exception of 3 instances. Two of those corresponded with serious asthma exacerbations which resulted in prednisone use. For both of those instances my dose was tweaked slightly (up a half a pill a week) and then was back to being mostly consistent. since March I have been on 150mcg either 7 pills a week. Lately I've been feeling particularly bad, so I reupped the dose to 7.5 since I couldn't get my labs done for a few weeks. Finally got them done and my TSH is 6.9, the highest it's been since I had my thyroid removed! I'm at a loss for whats causing the big jump. At least the other 2 I can correspond to something! My doctor wants to significantly increase my dose, I would prefer to make smaller adjustments and retest as I don't particularly want to send myself into hyper mode either.
So my questions are:
-does anyone have experience with significant increases vs smaller incremental ones?
-any things that may be affecting absorption that I'm not thinking of? (I take my pill at the same time every day, 2 hours removed from any food, other pills, calcium, etc)
Any thoughts or advice welcome. My doctor is pretty useless and every time I tell her i think my dose may be off she asks me if I'm sure I'm not depressed. (seriously)(and yes, i do need a new doctor) Thanks!
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