Eureka health // march 12, 2024

Recognizing the Signals: Understanding the Signs Your Thyroid Medication Is Too Low

medically reviewed by:
DR. MARCO DE SANTIS
&
contents

Understanding the Signs If Your Thyroid Medication Is Too Low

Tucked away near your throat is a small, butterfly-shaped organ, the thyroid gland. This small organ plays a major role in regulating your body's energy usage and storage. In endocrinology - the science of hormones and glands - the thyroid gland's influence stretches far and wide across your body, controlling multiple functions such as energy levels, heart health, digestion, and even fertility. 

Understanding Hypothyroidism

A condition termed hypothyroidism arises when the thyroid gland falls short in producing enough thyroid hormones. This condition is like the domino that sets off a cascade, impacting your entire body system. In the early stages, those suffering from hypothyroidism might not have any symptoms (also called subclinical hypothyroidism). However, as the disease progresses, symptoms often become overt.

The symptoms of hypothyroidism can be varied and may include excessive fatigue, unusual sensitivity to cold, difficulty passing stools (constipation), gaining weight unexpectedly, having a seemingly puffier face, hoarseness in your voice, and muscle weakness. Blood tests may show an imbalance in your different thyroid hormones and an unsettling surge in your blood cholesterol levels. 

Treatment for hypothyroidism is usually straightforward. Once diagnosed your healthcare provider may prescribe a thyroid hormone replacement medication to bring your hormone levels back to a normal range. Crucial to this treatment plan is getting the dosage right.

The Importance of Dosage in Thyroid Hormone Medication

In most cases when your thyroid gland is not producing enough thyroid hormones, your Pituitary gland (a tiny gland in the brain) sends out more thyroid-stimulating hormone (TSH) that signals your thyroid gland to produce more hormones. When your healthcare provider suspects that you might have hypothyroidism they may order blood tests to check whether your TSH levels are above the normal limits. Consequently, when you are put on thyroid hormone replacement, they will monitor your TSH levels to check if they are reducing and falling back into the normal range. Walsh et al. in their clinical trial study found that, among hypothyroid patients on thyroid hormone replacement medication, when thyroid-stimulating hormone (or TSH) is within the normal laboratory reference ranges, small changes in thyroid hormone replacement dosage do not significantly alter well-being or quality of life. The problem arises when your thyroid hormone replacement dosage is inadequate to bring your TSH back into the normal range. In this case, a high TSH level in your bloodstream implies inadequate medication dosage.

When the medication dosage falls far from adequate, the tell-tale signals of hypothyroid might surface again. A sustained sense of fatigue, sluggishness, heightened sensitivity to cold, changes in menstrual cycles, constipation, muscle weakness, and dry skin may set in. Moreover, some may also struggle to concentrate with mental cloudiness or confusion commonly referred to as 'brain fog'. 

Looking Out for the Signs Your Thyroid Medication Is Too Low

So, are you on the lookout for signs your thyroid medication is too low? Here are several options you might consider:

1. Enhance absorption: Attempt to increase medication absorption by ingesting it on an empty stomach with water, at least an hour before food or caffeine drinks. 

2. Monitor your weight: Keep an eye on your weight as fluctuations can directly dictate the thyroid hormone requirement, which, in turn, informs your medication dosage. Keep track of your weight and symptoms, so the dosage prescription can be adjusted accordingly. 

3. Keep medication consistent: Use the same brand, formulation (tablet/capsule/liquid), and active ingredient (levothyroxine or others) consistently, as different thyroid medications might not give consistent results.

4. Patience, regular testing, and communication: Regularly test thyroid levels and maintain close communication with your healthcare provider about your symptoms and concerns, as it may take some time before noticeable improvements manifest.

5. Reject the convenience of over-the-counter supplements: Over-the-counter thyroid glandular supplements that claim to contain animal thyroid tissues to replace your thyroid hormones often yield unpredictable results. Always consult with your healthcare provider before making any changes to your medication regimen.

Lastly, remember to always partner with a trained endocrinologist, who can create a personalized treatment plan. The sooner you identify and adjust your therapeutic dose of thyroid medication, the closer you are to rejuvenating your vibrant, energetic self.

Connect with Eureka for Free, Personalized Recommendations

Remember, you can embrace the opportunity to improve your thyroid health for free at Eureka, where healthcare is more than just a transaction – it's a journey toward wellness. Look beyond overcoming thyroid symptoms; discover your path to holistic well-being for free. You're not alone on this journey. Let the experts at Eureka guide you in identifying the signs your thyroid medication is too low, and help you find your balance, health, and happiness once more.

References

1. Small Changes in Thyroxine Dosage Do Not Produce Measurable Changes in Hypothyroid Symptoms, Well-being, or Quality of Life: Results of a Double-Blind, Randomized Clinical Trial** by Walsh, J. P., et al. (2006). This study indicates that small changes in thyroxine dosage may not be noticeable to patients, which implies that significantly low levels might be needed before symptoms are clinically evident. [Read more].

Have symptoms and want to change or adjust your medication?

Eureka can offer free personalized recommendations, and our thyroid doctors can help.
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Alison L. swapped her thyroid meds to improve her energy levels.
Beth S. received new protocols to try even though her TSH is normal.
Sydney T. improved her Hashimoto's through a custom thyroid diet plan.
Tisha R. found better ways to manage her subclinical hypothyroidism.

Have symptoms and want to change or adjust your medication?

Eureka can offer free personalized recommendations, and our thyroid doctors can help.
Get Started
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