Total Thyroidectomy & Synthroid Dosage

[lilypad300]

I know it's different for everyone, but what is the average dose of synthroid for people who have has a thyroidectomy?  
My doctor started me off on .175 and then I had an anxiety attack the other day (see journal)  today he said my numbers were good, but reduced me to .137 and gave me some .150 samples as well.  He said to start on the .137 and if I felt sluggish to take the .150's .  How will I know the difference between general fatigue and not enough synthroid.  Would the .175 have caused my anxiety attack?  

help!
thanks!

[MassGeocacher]

I had a partial thyroid removal done 4 years ago. I had a benign nodule the size of a baseball. Up until 3 months ago my TSH levels were normal. I went in for a routine screen and my TSH jumped to 4.5. I was put on 25MCG of levothyroxine. Last week, my TSH was tested to be high again and I am now on a dose of 50MCG. My doctor told me that I have Hashimotos disease which probably means that I will need increasingly higher dosages as time progresses.

[Barb135]

Sounds like you need to be put on thyroid replacement hormones, if you haven't already been.  

Have you had any blood tests to determine what your levels are?  

I've never had a thyroidectomy, but I've had surgery on vocal cords and the worst thing you can do is cough........ sip water or suck on lemon drops, etc. to soothe your throat.

[sheilaatwood1956]

i had my thyroid removed 5 days ago because of a large mass doctor said it didnt look like cancer ,I did not know i would feel so bad he said i could go back to work in a week all i want to do is sleep and i feel sick to my tummy and and keep coughing and it hurts so bad!

[angielovescharlie]

Hi I am sorry your going through so much.I been going through this since i was 10 with medication changes or dosage changes i should say. I been fighting thryroid disease for a long time. It turned into hashimoto's disease, I finally had to have my whole thryroid out. They did find one cancer cell they removed everything thank god. They started me off on 175 of levoxyl and it didn't work, I became hyperthyroidism rather than HYPO that i am. So they switched me to synthroid the name brand. I been on it for 2 weeks now. 2 weeks ago I didn't know what was wrong with me. I had aches and pains, and tired to the point I couldnt' drive it took everything to get out of bed. Now the only symptoms i am having is a little tiredness not so much, but blurred vision, and major headaches so your not alone, I am going to a headache doctor soon, and a new thryroid doctor to see what happens. keep me informed good luck. sincerely, angie

[Barb135]

What are your actual thyroid levels?  You shouldn't be so tired and lethargic if your levels are adjusted properly.

Please post your most recent thyroid labs and be sure to include reference ranges, since these vary lab to lab and must come from your own report.

[jennm70]

I had a TT on June 25, 2012... I've spent most of my summer sleeping and still not feeling quite normal.  I'm on .225 mcg of levothyroxine and my levels are still low.  I have lost 26 pounds since my surgery (still have a ways to go, gained about 60 pounds over the past 6-7 years.)

My main concern is that I'll again become complacent and "use" to feeling tired and foggy.  I can't fall back into that again.  I wish you all well and remember... don't give up!