How to Treat Hypothyroidism

Standard treatment is levothyroxine — safe and effective.

Levothyroxine

• Once daily on empty stomach, 30–60 min before breakfast
• Starting dose: 1.6 µg/kg/day
• Separate from calcium/iron by 4 hours

Monitoring

• TSH 6–8 weeks after dose change
• After stable: every 6–12 months
• Pregnancy: increase dose 30–50%

Lifestyle

• Adequate selenium and iron
• Avoid coffee/soy with levothyroxine
• Manage stress