you're starting out on 200? That seems awfully high for just starting...I take mine with my coffee (my dr said fine to do if it's black) first thing every morning before breakfast, i try to wait at least a half hour before eating.
Take this medication at the same time each day whenever possible. Thyroid hormone is usually taken in the morning to prevent insomnia at night. Need to take on empty stomach.
Take each dose with a full glass (8 ounces) of water. Allow atleast 1/2 hour before taking and other Meds or Vitamins,and food.
Starting Dose is different per situation.