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
Source: American Thyroid Association, NLM MedlinePlus.

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