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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should I Start Levaxin Or Try Ayurvedic Treatment For Chronic Thyroiditis And Subclinical Hypothyroidism?

Hello, I am diagnosed with chronic thyroiditis, subclinical hypothyroidism and chronic fatigue syndrome. My TSH is 7, thyroid gland produced enough hormones until now. Do I need to begin Levaxin or can try ayurvedic treatments. Did hear that they give good results. Thanks
Thu, 6 Mar 2014
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Internal Medicine Specialist,  's  Response
Hi there,

Thanks for your query.

There are two schools of thought :

1. To start with Synthroid (Levothyroxine) in low doses (12.5-25mcg/day) when TSH is between 5-10.

2. Other group of doctors recommend initiation of the hormone only when TSH goes above 10.

I personally am of the firm opinion that Synthroid should be started when TSH is >5. A timely hormonal replacement therapy will spare the patient from the troublesome symptoms of hypothyroidism.

Hence, I will recommend that you start with 12.5mcg/day of Synthroid immediately. The dose needs to be titrated, so as to maintain TSH around 1.0

Consult your doctor and apprise him of my opinion. I am certain that he will agree with me and will prescribe the advised drugs in appropriate doses.

AYURVEDIC drugs are made from herbs/shrubs, which DO NOT CONTAIN hormones. Hence, Ayurvedic treatment will be INEFFECTIVE.

If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries.

Take care

Dr. Rakesh Karanwal
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Should I Start Levaxin Or Try Ayurvedic Treatment For Chronic Thyroiditis And Subclinical Hypothyroidism?

Hi there, Thanks for your query. There are two schools of thought : 1. To start with Synthroid (Levothyroxine) in low doses (12.5-25mcg/day) when TSH is between 5-10. 2. Other group of doctors recommend initiation of the hormone only when TSH goes above 10. I personally am of the firm opinion that Synthroid should be started when TSH is 5. A timely hormonal replacement therapy will spare the patient from the troublesome symptoms of hypothyroidism. Hence, I will recommend that you start with 12.5mcg/day of Synthroid immediately. The dose needs to be titrated, so as to maintain TSH around 1.0 Consult your doctor and apprise him of my opinion. I am certain that he will agree with me and will prescribe the advised drugs in appropriate doses. AYURVEDIC drugs are made from herbs/shrubs, which DO NOT CONTAIN hormones. Hence, Ayurvedic treatment will be INEFFECTIVE. If you find my response helpful and informative, do not forget an “excellent” (5-star rating) to my answer, to ENCOURAGE ALL doctors- engaged in social service- to render sound advice to the FREE queries. Take care Dr. Rakesh Karanwal