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Thyroid Cancer, Nodules & Hyperthyroidism (Expert Forum)
Synthroid Titrating
Answered by
Mark Lupo, M.D. - Thyroid Nodules, Thyroid Cancer, hyperthyroidism, hypothyroidism, Thyroid Ultrasound
Thyroid & Endocrine Center of Florida
Sarasota - FL
Questions in the Thyroid forum are answered by Mark Lupo, MD. Topics covered include Goiter, Graves Disease, Hyperthyroid, Parathyroid/Calcium Problems, Thyroid Cancer, Thyroid Nodules/Cysts, Thyroiditis, Thyroid & Pregnancy, Thyroid Stimulating Hormone (TSH), Thyroid Tests, and Thyroid Surgery.
Synthroid Titrating
by Craniac3, Sep 17, 2007 09:30AM
I was diagnosed hypo/Hashi's in April 2007. My TSH at that time was 129.5. I was prescribed 75 mcg Synthroid, which dropped my TSH down to 4.75. At that time I was upped to 100 mcg, which made me hyper. Then dropped down to 88 mcg. My TSH is now reading about .57 which is in range, but I feel I am displaying symptoms of hyper still (multiple daily bms, fatigue).
Since 75 mcg seems not enough and 88 mcg too much, is there any harm in alternating between the 2 dosages every other day? Or is there another alternative?
Since 75 mcg seems not enough and 88 mcg too much, is there any harm in alternating between the 2 dosages every other day? Or is there another alternative?
Doctor's Answer
by Mark Lupo, M.D., Sep 17, 2007 08:26PM
, Sep 17, 2007 08:26PM
Some people need the "in-between" dose -- while a TSH of 0.57 is great for many people, for you it may reflect too much medication as suggested by your symptoms. So alternating 75 with 88 or taking 6.5 tablets/week of the 88mcg dose are the ways we usually approach this situation.
