Certain medications, supplements and even some foods may affect your ability to absorb levothyroxine. Talk to your doctor if you eat large amounts of soy products or a high-fiber diet or you take other medications, such as:. Levothyroxine is best taken on an empty stomach at the same time every day. Ideally, you'll take the hormone in the morning and wait an hour before eating or taking other medications.
If you take it at bedtime, wait four hours after your last meal or snack. If you have subclinical hypothyroidism, discuss treatment with your doctor. For a relatively mild increase in TSH, you probably won't benefit from thyroid hormone therapy, and treatment could even be harmful.
On the other hand, for a higher TSH level, thyroid hormones may improve your cholesterol level, the pumping ability of your heart and your energy level. Although most doctors recommend synthetic thyroxine, natural extracts containing thyroid hormone derived from the thyroid glands of pigs are available.
These products contain both thyroxine and triiodothyronine. Synthetic thyroid medications contain thyroxine only, and the triiodothyronine your body needs is derived from the thyroxine. Extracts are available by prescription only and shouldn't be confused with the glandular concentrates sold in natural foods stores.
These products aren't regulated by the Food and Drug Administration, and their potency and purity isn't guaranteed. You'll likely start by seeing your family doctor or a general practitioner. In some cases, you may be referred to a doctor who specializes in the body's hormone-secreting glands endocrinologist.
Infants with hypothyroidism need immediate referral to a pediatrics endocrinologist for treatment. Children or teens need to see a pediatric endocrinologist if there is any uncertainly about starting levothyroxine or proper dosing of the hormone.
Here's some information to help you get ready for your appointment and know what to expect from your doctor. Preparing a list of questions will help you make the most of your time with your doctor. For hypothyroidism, some basic questions to ask include:.
Once diagnosed with thyroid disease, all patients need lifelong medical follow up to ensure that their thyroid function remains in the best range. Medical Disclaimer The information contained in or made available through the American Thyroid Association Website is not intended to replace the services of a trained health professional or to be a substitute for medical advice of physicians.
The user should consult a physician in all matters relating to his or her health, and particularly in respect to any symptoms that may require diagnosis or medical attention. You can add more B vitamins to your diet with the following foods:.
Vitamin B is generally safe for most healthy individuals at recommended levels. Talk with your doctor about how much vitamin B may be right for you. The NIH studied the link between hypothyroidism and small intestine problems. It was found that altered gastrointestinal GI motility commonly seen with hypothyroidism can cause small intestinal bacterial overgrowth SIBO and ultimately lead to chronic GI symptoms, such as diarrhea.
Probiotic supplements contain live helpful bacteria that can help keep your stomach and intestines healthy. Besides supplement forms, fermented food and drink, such as kefir, kombucha, some cheeses, and yogurt contain useful probiotics. Talk with your doctor to see if these supplements might help you. According to the National Foundation for Celiac Awareness , a significant number of people with thyroid disease also have celiac disease.
Celiac disease is a digestive disorder in which gluten triggers an immune response in the small intestines. But there are some drawbacks to going gluten free. For one, the cost of buying gluten-free foods is often much higher than foods containing wheat.
For many, the advantages of adopting a natural thyroid treatment plan outweigh the disadvantages. As always, you should discuss any treatment plans with your doctor before starting them. Read this article in Spanish. Mu, Q. Leaky gut as a danger signal for autoimmune diseases.
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