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Is Levothyroxine ineffective against Hashimoto's thyroiditis?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had Hashimoto's hypothyroidism for 12 years. I have been on tablet Levothyroxine the whole time. I have type 1 diabetes, retinopathy, psoriatic arthritis, non-alcoholic fatty liver disease, and stage 3 chronic kidney disease. My current medications include NovoLog, Tresiba, Losartan, Potassium Citrate, Paxil, Atorvastatin, and Tremyfa. My TSH (thyroid-stimulating hormone) levels keep going low, and the doctor continues to drop the dose. Now my TSH level is 0.105 mIU/mL. I do not remember my thyroxine level, but it was high. Why do I feel hot, lose weight, experience anxiety, hair loss, fatigue, depression, and dry skin? Is it because Levothyroxine is not effective or has stopped working? Should I change the medication? What do you recommend?

Hello,

Welcome to icliniq.com.

In Hashimoto's disease, antibodies are constantly formed in the body and are controlled by administering artificial thyroxine hormones. Sugar and blood pressure (BP) have to be monitored, and the values are kept in the normal range by adjusting the dose of Tresiba (Insulin Degludec 100 IU per mL) and Losartan. Do not worry; your treatment is going absolutely fine, and you will see improvement soon.

Medically reviewed byiCliniq medical review team

Published At June 22, 2022
Reviewed AtOctober 11, 2023

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