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Conditions and Diseases > Gland Disorders Forum > Hypothyroidism - starting synthroid ?
What does it mean to have low levels of thyroid hormone in the body? We outline how doctors define hypothyroidism here....
What medical conditions cause hypothyroidism? And what puts you at risk of developing these conditions? More hypothyroid basics here....
When are symptoms of hypothyroidism serious? When should you seek medical help. Click here to learn when doctors recommend you come in for a visit....
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Q: Hypothyroidism - starting synthroid ?
asked by: ukieprincess on October 17th, 2009
New User
I recently saw a physicians assistant at an Ob/Gyn for irregular periods and my blood work showed that that my TSH levels were ~5.3 and that I had low T3 levels. Since this is higher than the new standard, I was prescribed synthroid (25 mg) without any additional blood tests. I am 21 years old and am healthy in every other way. I do have days were I get really tired and sleep a lot, but I always just chalked it up to being a college student. I didn't question anything until I did some research & realized that the majority of people diagnosed with hypothyroidism are older women. I was told to take the synthroid for three months and then go in for another blood test before my follow up appointment in December. The only thyroid tests that were done in the initial blood work was TSH and T3. Should I have had follow up blood work done before I started the synthroid or is a high TSH/low T3 reading enough? I made an appointment with an endocrinologist but the first appointment I could get is in February. Should I be taking the synthroid until then and just have that follow up blood work done in December? Or should I be waiting all the way until February? Or ask for another more thorough blood test to be done now? Basically I'm at a loss as to what I should be doing right now and its going to be a while until I see an endocrinologist.
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MyrahU
replied on November 3rd, 2009
Active User, very eHealthy
The Synthroid is not going to hurt you, especially at 25mcg (it's in micrograms, not milligrams). Take it now and make sure they wait at least two months before they do a follow-up blood test. It takes at least that long for your body to adjust to the dosage. If it turns out that you don't need the Synthroid, a few months of it won't hurt you. Yes, the majority of people with hypothyroidism are older, but younger people have it, too.

Your irregular periods and excessive tiredness could definitely point to hypothyroidism. Once you've been on the medication for a little while, you probably will start to feel better. There are only three basic thyroid level tests they do, and they mostly just do TSH, which is like your body's request for thyroid hormone. If the number is high, it means you aren't getting enough. If it's too low, you are getting too much.

For such a minor issue, I don't know if it's necessary to see an endocrinologist, especially if you don't know if your other doctor is able to treat it effectively or not. But it is totally your choice. Just make sure you don't have too many cooks in your thyroid kitchen--find one doctor (that you can see on a regular basis) and stick with them when it comes to your thyroid. Don't have multiple doctors managing it.

May I ask: what are you really worried about? Why are you so resistant to taking the Synthroid?
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