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!

[Spongebobmini]

I'm in trouble been on thyroid since 70's removed for cancer last weeks felt like heart attack aches headaches eyes weird went to hospital they checked for heart attack said blood pressure 200/  put me on blood pressure med istl feel terrible really bad said level was a little high I fell its more than a little high can a test be wrong

[kl42]

excellent !

[Brucergoldberg]

and you feel how?

I kept thinking i was hypo and they kept increasing me, when in reality i was hyPERthyroid and i got reduced to 125.

[IMNRN]

Wished I had seen this post in 2010.  Guys if you have tingling and weakness even on one side of the body, make sure the docs are checking your calcium levels.   It could be low calcium since your parathyroids may have been inadvertently removed or irritated during surgery.   Took years to get things smoothed out for me.  Been on 425 MCG (0.425mg - yes you read correctly), 3000mg calcium daily, 50,000 units Vitamin D 3 days a week to get levels where they should be and make sure I am suppressed for papillary CA.

Carrie

[Barb135]

Unfortunately, TSH is not the only parameter that needs to be tested.  You need, also, to have free T3 and Free T4 tested, to see what your actual thyroid hormone levels are.  Your medication should be adjusted, based on actual hormone levels, rather than TSH, which is a pituitary hormone and can fluctuate greatly, even intraday.

[Brucergoldberg]

I started on 150 mcg t4,  on 255 now, probably will be bumped to 275 mcg next.  I am 5"11 175, slender male.   I dont think there is a formula for this, all based on your natural metabolism.