Can Synthroid Be Crushed Split Or Chewed
Yes, you can crush, split, or chew Synthroid tablets. For example, to give the drug to children or infants, Synthroid tablets can be crushed and dissolved in 1 to 2 teaspoons of water. If you dissolve the drug like this, youll need to give the dose to the infant or child right away.
Be sure that you dont mix crushed Synthroid into any foods. This is because Synthroid should be taken on an empty stomach.
But I Havent Lost Any Weight Its Time To Talk Thyroid Medication And Weight Loss
When your thyroid is underperforming almost every part of your body becomes sluggish.; Hypothyroidism triggered go-slow can see the bathroom scales creeping up even if you have not changed what you eat, how much you eat or your exercise routine. The much-lauded weight loss math of calories in – calories out = weight may be wrong in hypothyroidism.
So when you are told your thyroid levels are correct because you have enough thyroid medication in your body, based on your most recent lab test, it is devastating to continue to gain weight.;;
For most with hypothyroidism and Hashimotos the hoped-for, prayed-for begged-for thyroid medication miracle equation reads like:
;;;;;; Hypothyroid = weight gain
;;;;;; No longer hypothyroid as taking medication and have been told by my doctor I am taking enough medication = weight gain stops + possibly even weight loss starts.;
If the thyroid medication miracle equation math fails and your weight is not normalised the first place to start is to make sure your medication matches your needs.;Check out this article here for more information on what this means.
Scientists have been researching if the type of hypothyroidism medication can change the weight loss result and the answer seems to be YES.;
How Does Synthroid Relate To T3 And T4
Synthroid is a man-made form of the natural thyroid hormone called T4. But your thyroid actually makes two main hormones: T3 and T4.
If your body doesnt make enough thyroid hormones, your doctor may prescribe Synthroid for you. In this case, Synthroid is used to replace your natural T4. Then, your body uses T4 to make T3.
Taking Synthroid can help bring your thyroid hormones to healthy levels. And the drug helps to regulate your metabolism . Your metabolism affects everything from your digestion to your bodys growth and repair to even your temperature.
Recommended Reading: Which Medicine Is Best For Thyroid
Your Muscles Are Acting Up
Muscle twitching, cramping, and pain can be signs of hypothyroidism or hyperthyroidism. They can also indicate your electrolytesmainly calcium and sodiumare out of balance.
If you feel sudden and intense muscle pain when you havent done any strenuous;physical activity, it might be because your thyroid function has changed.
Armour Thyroid Vs Synthroid: An Unbiased Look At The Evidence
Armour Thyroid and Synthroid are medications used to treat hypothyroidism .
Synthroid is the most commonly prescribed, however some claim Armour Thyroid produces better results.
So, which is the best treatment for you?
This article looks at the evidence for both to help you decide.
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Weight Loss Tips For Hypothyroidism
Maintaining a healthy weight can be a struggle when youre living with hypothyroidism. These tips can help you shed unwanted pounds and keep them off.
If hypothyroidism is inadequately treated it can be harder to lose weight, since the thyroid is a large regulator of metabolic function. The most important thing you can do for weight loss and for your overall health is to get proper treatment for your hypothyroidism. However, making a few dietary changes may help boost weight loss success. Losing weight is never easy, but people who have well-controlled;hypothyroidism shouldnt struggle to lose weight more than anyone else, says Leonor Corsino, MD, an endocrinologist at the Duke Center for Metabolic and Weight Loss Surgery in Durham, North Carolina.
Use these six strategies to jump-start weight loss with hypothyroidism.
Impact Of Water Retention
Other than the visible puffiness, the retention also triggers several health conditions. The increase in fluid produces undue pressure on nerves resulting in inflammation.
When the nerve compression is more in the forearm or wrist region, it causes carpal tunnel syndrome, which exhibits symptoms such as tingling, numbness, aches and burning sensation. Restricted blood flow due to fluid accumulation can cause symptoms such as tinnitus, dizziness, headaches, visual disturbances and breathlessness.
Water retention can also exert pressure on nerve endings in the legs resulting in leg cramps during nighttime.
Recommended Reading: How To Heal Thyroid And Adrenal Fatigue
Synthroid And Herbs And Supplements
Certain mineral supplements may interact with Synthroid. However, there arent any herbs that have been specifically reported to interact with Synthroid. But you should still check with your doctor or pharmacist before using any herbs or supplements while youre taking Synthroid.
Synthroid and mineral supplements
Certain mineral supplements interact with Synthroid by binding to Synthroid inside your stomach. When these supplements bind to Synthroid, your body cant absorb Synthroid. This means that you wont get the full amount of Synthroid thats in your dose.
For example, the following mineral supplements are known to interact with Synthroid:
If youre taking any of these supplements, you should take them at least 4 hours before or 4 hours after your Synthroid dose. Doing so will help make sure your dose of Synthroid is absorbed like usual.
If you have any questions about taking Synthroid with mineral supplements, talk with your doctor.
Dosage For Tsh Suppression
The usual dose of Synthroid for thyroid stimulating hormone suppression* is 2 micrograms of drug per kilogram of body weight . This dose is taken once each day.
This means that if you weigh 75 kg , your dosage of Synthroid would be 150 mcg each day.
Your Synthroid dosage for TSH suppression will depend on the severity of your condition and other health conditions you may have. Your doctor will recommend a dose of Synthroid for TSH suppression thats best for you.
* For TSH suppression, Synthroid is used to help decrease levels of TSH in your body. TSH is made when your body needs thyroid hormones. A lower TSH level means your body doesnt need thyroid hormones as much as a higher TSH level indicates.
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Armour Thyroid May Be Better For Weight Loss Compared To Other Thyroid Medications
I go over this topic a little more in detail on #7 when I discuss that many people actually prefer NDT formulations over T4 only formulations.;
You can skip there to see the studies which cite that Armour thyroid helps promote weight loss more than T4 only medications.;
Here, I just want to introduce you to that fact and explain it in a little more detail.;
Are some thyroid medications better at helping with weight loss?
The answer to this question is quite complex but I can say the answer is a definitive yes.;
I’m not going to go into all of the details why this is the case but I do want to point out one major reason.;
And that reason has to do with T3 thyroid hormone.;
T3 thyroid hormone is the most active thyroid hormone and Armour thyroid contains this medication.;
This is unique because most patients are taking Synthroid which does NOT contain T3.;
T3, because it is the most potent thyroid hormone, has been shown to directly stimulate your metabolism .;
All of these things contribute to the thermogenic effect seen when using T3.;
So, T3 absolutely can help with weight loss but it shouldn’t be used as a weight-loss therapy.;
What do I mean?
I mean that T3 thyroid hormone should only be used if you are deficient in this hormone.;
If you abuse it , you open the door to potentially causing harm to your body.;
The good news is that most people with thyroid-related issues ALSO have low T3 levels.;
This means that using T3, in this setting, is perfectly safe and healthy.;
What Is Causing Weight Gain After Antithyroid Drug Therapy
Dr. Boelaert still cant say for sure why individuals who are treated with antithyroid drugs to reverse their hyperthyroidism show a tendency to gain back the lost weight plus more. “It appears something in the disease process or perhaps from the treatment makes them end up heavier.” Clearly, more research is needed for us to understand the specific mechanisms behind the shift upward in body weight as a result of non-surgical treatment for overactive thyroid, she says.
Also, we know that appetite signals get disturbed when the thyroid goes out of whack, she says. When patients come in for treatment, ”lots of patients say, ‘I am losing weight although I feel like am eating like a horse.'” After the antithyroid treatment begins, at least some people may continue to eat the same larger amounts that they have grown accustomed to, and this may contribute to the weight gain, she says.
Do appetite signals return to normal once treatment begin? “We don’t know, but we hope to study this,” Dr. Boelaert says.
She worries about the adverse effects that are associated with overweight. “People with an overactive thyroid already have an increased risk of cardiovascular disease,” she explains. “If they then become overweight or obese, that is a further ‘hit.”’ So recognizing your increased risk for heart disease, and concerns about weight gain should be discussed with your doctor, and incorporated into your treatment plan.;;
Address Weight Gain from Antithyroid Drug Therapy;;
Read Also: What Is Tsh In Thyroid Test
Other Coexisting Conditions You Should Be Aware Of
The water retention in hypothyroidism can also be caused by adrenal fatigue. The functioning of adrenal gland is affected in autoimmune thyroid conditions and in hypothyroidism.; The adrenal hormones aldosterone and cortisol are not secreted properly resulting in low sodium levels and blood pressure.
This causes retention of water. Treating the adrenal fatigue and adding more salt to foods will help in increased aldosterone production.
Estrogen dominance in women during their peri-menopausal and menopausal stage is another cause of water retention. Low thyroid function, stress and nutritional deficiencies can lead to high estrogen levels. Restoring the hormonal balance is an effective way to treat the water retention in such cases.
Armour Thyroid Contains Both T4 And T3
This one probably isn’t a surprise for many of you but it’s still worth pointing out.;
Armour thyroid falls into the class of Natural Desiccated Thyroid medications.;
These medications are notoriously beneficial because they contain more than just the standard T4 thyroid hormone in medications such as levothyroxine and Synthroid.;
Armour thyroid contains BOTH T4 and T3.;
Each grain of Armour thyroid contains 38mcg of T4 and 9 mcg of T3.;
This ratio is roughly about 77:23 which is somewhat close to the 80:20 ratio of T4:T3 that your thyroid gland produces naturally.;
Some doctors will suggest that Armour thyroid should not be used because they contain too much T3 compared to what the body produces naturally.;
But more recent studies show that healthy thyroid glands produce around 80% T4 and around 20% T3.;
Some doctors try to suggest that the thyroid gland produces 95% T4 and 5% T3 but these values are not supported by more recent studies.;
Why should you care that it contains T3?
I think the most important reason is that T3 is by far the most biologically active thyroid hormone .;
It’s roughly 300x more potent than T4 at stimulating the thyroid receptors on your cells.;
Pretty much everything you want thyroid hormone to do stems from the direct actions of T3 thyroid hormone.;
Why isn’t it used more frequently?
Most doctors are simply not comfortable using it or feel that it is too powerful or too difficult to dose.;
Read Also: Can Thyroid Problems Cause Muscle Twitching
Transferring From Levothyroxine To Armour Requires Dose Adjustments
If you are switching from levothyroxine or Synthroid over to Armour thyroid then you must consider how to adjust your dose during the transition.;
Unfortunately, it’s not as easy as just saying “well, I’m taking 100mcg of levothyroxine so I will need 100mg of Armour thyroid”.;
Why is the transition so difficult?
The main reason has to do with the fact that Armour thyroid contains T3 in addition to T4.;
And, because T3 is so much more powerful when compared to T4 it’s difficult to pinpoint what an equivalent dose would be.;
Most standard textbooks will give you a conversion chart which looks similar to this:
The standard conversion states that 100mcg of Synthroid/levothyroxine is equal to 60mg of Armour thyroid.;
But there’s one big issue with this conversion chart…
Most people who go by this conversion chart end up with a rising TSH and persistent symptoms of hypothyroidism when they transition.;
These symptoms seem to suggest that using this chart results in insufficient dosing.;
In fact, newer studies; suggest a conversion which is more similar to this:
This chart suggests that 100mcg of T4 is equivalent to 68mg of Armour thyroid .;
My own personal experience suggests that 1 grain of Armour thyroid is probably closer to 75mcg of T4.;
Because there’s quite a bit of debate about how to transition appropriately, just be sure that you give your body enough time to acclimate to the changes and be sure to monitor your thyroid lab tests.;
Youre Noticing Skin Changes
Skin changes can be signs that your treatment needs an adjustment. Very dry skin especially your hands, elbows, and feet can be a sign that you are not getting enough thyroid hormone when you are hypothyroid. Unusually smooth skin, a bumpy rash on your face called miliaria, or a patch of rough skin on your shins can all be signs that your hyperthyroidism treatment is insufficient, and you need an increased dosage of antithyroid medication.
Read Also: How Long Do Thyroid Supplements Take To Work
Your Muscles Feel Sore All The Time
We know exercise is a crucial component in reaching your body goals, but it shouldn’t be leaving you constantly seeking out a warm bath. If your muscles don’t seem to be recovering even on your days off, this might be explained by a thyroid problem. Your thyroid gland secretes hormones that control your metabolismthe body’s way of converting the food you eat into fuel.
Fewer metabolism-controlling hormones mean a slower metabolism and a disruption in how your body burns energy, which can affect how your muscles feel. To counteract these symptoms, choose low-impact exercises like elliptical-stepping or swimming and increase the consumption of fish in your diet. Fish like salmon are a good source of omega-3 fatty acids, which are known to decrease the inflammation that might be contributing to your muscle and joint pain.
You Have High Cholesterol Levels
Even though your doctor doesn’t typically look for thyroid problems during your check-ups, he or she will often measure your cholesterol levels. High blood cholesterol levels can put you at risk of getting heart disease, but they also might be indicative of a thyroid problem.
According to Dr. Srinath, “Hypothyroidism causes reduced clearance of cholesterol particles, so LDL and triglycerides may be elevated in a hypothyroid patient.” Looking to lower LDL levels? Try eating overnight oats. The fiber called beta-glucan in this cereal grain has been shown to reduce LDL cholesterol levels by 5 to 10 percent.
See your doctor to get checked for high cholesterol levels, and when you’re looking to change your diet to lower these levels, consider these 17 Foods That Lower Cholesterol.
Read Also: What Are Symptoms Of Thyroid Issues
You Have Unexpected Weight Changes
Are you gaining weight without a change in your diet and exercise program? This can be a sign that you are not getting enough thyroid hormone to treat your hypothyroidism, or you are getting too much antithyroid medication for your hyperthyroidism. Similarly, if you are losing weight, you may be getting too much medication for your hypothyroidism, or too little medication to resolve your hyperthyroidism.
When One Drug Isn’t Enough
Levothyroxine drugs like Synthroid are synthetic forms of the thyroid hormone thyroxine, also known as T4. When everything works perfectly, your body should convert the T4 into the second key thyroid hormone, triiodothyronine, known as T3. T3 is the active hormone that helps facilitate energy and helps oxygen reach your cells.
Research shows, however, that;in a subset of thyroid patients, this conversion process is faulty. Whether due to genetic changes, stress, or nutritional deficiencies, these patients fail to effectively convert enough T4 into T3.
If you fall into this category, you may find that even after being treated with levothyroxine, you may have hypothyroidism symptoms, such as fatigue, hair loss, or brain fog.;If this is the case, you might benefit from the addition of T3 to your levothyroxine.
Ask your healthcare provider to test your T3. If you have low or low-to-normal levels, you may be a candidate for supplementation with Cytomel or a compounded, time-released formulation of this medication.
Note that compounded medications can be difficult to accurately dose, however, as it is very hard to determine the exact quantities of T3 and T4 in each pill. Compounded formulas can be difficult to control and could lead to overly suppressed TSH levels and low free T4/high T3 levels in the blood.
It’s also worth noting that adding T3 to your regimen is still relatively experimental: There is not enough clinical evidence to support this practice in every patient.
Recommended Reading: Why Thyroid Cancer Is On The Rise
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