4, 6, or 8?

[diazmommy]

I have heard different time frames for retesting after medication changes (upping).....4 weeks being the minimal and 8 weeks being the highest.  How long is best?  Is it okay to retest at 4 if you still have lingering symptoms?

Thanks!

[sunrock]

Well, thank goodness there are folks, like you, on this forum that can help us with this wonderful work of art!
And thank you for reminding me that you can fell worst in the beginning when increasing a dose!! I can't wait to find out out my labs will be.

Oh, and it is raining .....
Mia

[diazmommy]

Thanks Barb!  You are right....I am wondering if 50 is too much.  I have about a week and half left and I could do labs (4 week mark).....that is why I was wondering if 4 was too early. I will be interested to see how the labs end up.  

You are very right about feeling worse at dosage increases....I have noticed that some. But why is that?  I have been curious about that happening?

One last question (thanks so much for the help).  I just realized I missed one dose of my meds on Monday.  Should I add a little back (13 mcg on top of the 50 mcg) to get the missed dose back?

[diazmommy]

Bump

[Barb135]

Sorry, was offline most of the day yesterday, with family from out of town.  

You can't get back a missed dose; you just have to go on from there.  One missed dose is not going to have that much effect, because of the amount of time it takes for the T4 to get into your system, and how long it stays there.

Not exactly sure about the feeling bad when dosage is increased, except that it takes time for the body to adjust to having hormones its been doing without.  When you don't have enough hormones, your body tries to compensate for that and the adrenals try to pick up the slack, so when you start adding more hormones, the body has to readjust to the more normal levels. Our bodies are very complicated and everything must work together in order for us to feel well.

Under normal circumstances, 4 weeks may be a bit too soon to test, since the medication may not have had a chance to reach full potential; however, if you feel that you may be hyper, by all means, don't wait.

[diazmommy]

Thanks Barb!  

If anything is seems that I get a "kick" from a dosage increase and then it leaves. Yesterday afternoon started feeling really bad.....today feeling really hypo (can always feel it in my eyes---fatigue and puffiness).  Almost at 3rd week mark.  This is so new for me.  I used to be the person that really small doses would do the job for me (could not tolerate the meds except at small levels). Now it seems that my body is not using it right.  I am at almost 2 months of feeling really bad:(

[gimel]

Please post your thyroid test results and their reference ranges shown on the lab report.  Also, have you been tested for Vitamin D, B12, ferritin and a full iron test panel?