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Hypothyroid

Discussion in 'All Categories' started by Divya - Jul 3rd, 2024 7:09 am.
Divya	I have hypothyroidism. What are the treatment options available for hypothyroidism?
re: Hypothyroid by Dr. B. S. Bhalla - Jul 3rd, 2024 8:06 am #1
Dr. B. S. Bhalla	Hypothyroidism is typically treated with thyroid hormone replacement therapy. The primary treatment options include: Levothyroxine (Synthroid, Levoxyl, others): This synthetic thyroid hormone is the standard treatment for hypothyroidism. It is identical to thyroxine (T4), a hormone naturally produced by the thyroid gland. Liothyronine (Cytomel): This synthetic form of triiodothyronine (T3) may be prescribed if levothyroxine alone does not adequately manage symptoms. Natural Desiccated Thyroid (NDT): These are derived from the thyroid glands of pigs and contain both T4 and T3. Brands include Armour Thyroid and Nature-Throid. However, NDT is less commonly prescribed due to variability in hormone levels and concerns about consistency. Treatment Considerations Regular Monitoring: Thyroid hormone levels need to be monitored regularly to ensure the correct dosage. This is typically done through blood tests measuring TSH (thyroid-stimulating hormone) and sometimes T4 and T3 levels. Medication Adjustments: Dosages may need to be adjusted based on changes in weight, age, health status, pregnancy, and other medications. Lifestyle and Home Remedies Balanced Diet: A diet rich in iodine, selenium, and zinc can support thyroid function. However, avoid excessive consumption of goitrogenic foods like soy and cruciferous vegetables, especially in raw form, as they can interfere with thyroid function. Regular Exercise: Physical activity can help manage symptoms such as fatigue and weight gain. Medication Timing: Take thyroid medication on an empty stomach, typically in the morning, and avoid eating for at least 30 minutes afterward to ensure optimal absorption. Managing Related Conditions Addressing Underlying Issues: Conditions such as adrenal insufficiency or vitamin deficiencies (e.g., vitamin D or B12) should be addressed, as they can impact thyroid function and overall health.