Timings & Structure, Thyroid Edition

I started taking levothyroxine this fall, and got the standard spiel from the pharmacist:

  • Take first thing in the morning.
  • Do not eat anything else for 30 to 60 minutes after, including other oral medication.
  • Do not take with calcium or iron supplements for 4 hours after taking levothyroxine.

“You CAN have coffee!” the pharmacist chirped happily.  I was happier when she confirmed I could have my inhaled asthma meds.

This has been an adjustment. I was concerned it would bring up the anger-rebellion response I usually have had when dieting for weight loss. As it turns out, it hasn’t.  This has probably been helped by the fact that this is about a medication which has been showing direct benefits ever since I started taking it.

It also resulted in me forgetting the rest of my morning pills once or twice. Fortunately the vitamin B12 and D I can miss occasionally, but the SSRI can be dangerous if I stop it abruptly. Having a weekly pillbox helps me to know whether I’ve taken them.

I did take the “no calcium or iron supplements” a bit to the extreme by also skipping dairy and meat for 4 hours, which created the concept of “dairy o’clock” for me.  I have gradually relaxed that, but continue to adhere to the much more important “no food or meds for an hour”. I have a Detachable Pill Box which I can use to take my other morning pills with me to work if I need to leave before I can take them.

In the first month I took levothyroxine, I felt that I had more energy. According to my step counter, I walked more.  Also important is that my focus improved; I was able to complete tasks at work in less time than before.  And according to the scale at the endocrinologist’s office I lost 3lbs.

The endocrinologist seemed extremely pleased by the 3lbs. I tried not to pooh-pooh her parade by pointing out that it’s less than 1% of my weight, but damn, I was much more focused on the “able to get more work done” and “able to walk more” parts of the equation.

2 thoughts on “Timings & Structure, Thyroid Edition

  1. Thyroid pills did wonders for me too. I also take an afternoon thyroid, so I have to be super regular with my eating schedule. I had already really worked on that because my eating had been very haphazard in the past.

    There are some medicines you can take with thyroid. Just ask your doctor, but the list is not as restricted as you might think. Also, for the eating, it’s better not to eat, but if you have to, you have to.

    Finally, there’s a phone app called MedAlert that will insistently remind you to take your pills. It’s really annoying, but effective.

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