Dosage according to weight...

[Totie]

I am just curious how many think or have been told that dosage is according to weight?

I have never personally been dosed according to my weight. I was 88 lbs after TT & was on 200mcg for 10 yrs. After I got older & women hormones got to changing & I got off Birth control I slowly started needing less. However I was on 125mcg for the last 3-5yrs or so. Still was about 115 lbs the entire time. Lost weight for no  unkown reason in a course of 3 months.

Currently been upping my dosage (1 month ago because TSH was 13.8) and now 175mcg @ 102 lbs.

I don't think dosage is based on weight, or at leaset not in my case.

[Totie]

I have to go to them due to my insurance. I can't afford the out of network costs.

Around here unless you have diabetes your out of luck on getting an endo to pay attention to your symptoms..

I do have a new one, but she herself has not run any tests yet related to thyroid, she just increased my dosage based on my Primary's test. I was on 125mcg Levo & my TSH was 13.8, so when I went to see her she upped my dosage to 175mcg Synthroid. She will test in about 3 months maybe.

They sort of messed up things. The primary had upped my dosage to 150 when he got the results back, but I had to wait about 5 weeks before seeing the endo. So when she upped my dosage to 175 she did not test. I just had my TSH tested about 2 weeks ago & it was .36, That was based on my dosage of 150 because I have not been on the 175 but about 3 weeks before testing. I have a feeling I will be going hyper pretty soon once the 175 dosage kicks in...

I hope this made sense to you on my up coming dilema. I won't see my endo until Feb 23, but before that i am getting lab work done on Feb 16 requested by her to check for paraythroid issues.

[gimel]

Why don't you fire all of them and go to a good thyroid doctor?

[Totie]

My endo & every other one I had will only test TSH & sometimes T4, not sure if Free T4 or not.

[gimel]

From what I have read, the amount of thyroid med/pound of body weight is only a rough guide.  As recommended by a good thyroid doctor, "The diagnosis of thyroid insufficiency, and the determination of replacement dosing, must be based upon the patient’s symptoms first, and on the free T4 and free T3 levels second. The TSH test helps only to determine the cause."

He went further and stated, "The ultimate criterion for dose
adjustment must always be the clinical response. I have prescribed natural dessicated thyroid for your patient (Armour or Nature-Throid). These contain T4 and T3 (40mcg and 9mcg respectively per 60mg). They are more effective than T4 therapy for most patients. Since they provide more
T3 than the thyroid gland produces, the well-replaced patient’s free T4 will be around the middle of its range or lower, and the FT3 will be high-“normal” or slightly high before the AM dose."