Nurse Angie R.N. replied: "Hello,
Hope you are doing well since your surgery...
As for the vitamin... that should be fine... go ahead and take a multi-vitamin. There is no documentation that it will interfere with the Levothyroxine. And there is no Food-Drug Interaction with Levothyroxine. So continue eating a healty diet, low in fat because you will have a tendency to put on weight. It is also best to take the medication in the morning before breakfast. if you take it later in the day, it may cause insomnia. Try to take it at the same time everyday.
Weight gain is not an issue with the medication... Low thyroid levels tend to cause some weight gain... Now that your tyroid was removed, your body is not making any natural thyroid hormones. Thus your metabolism will slow and you will tend to put on weight and it will be harder to lose weight.
Synthroid / Levothryoxine is a medication used to replace the thyroid hormone which you do not have anymore... You will be tested every so often and your dose may change depending on your blood work levels....
Watch for signs that you are getting too much medication. This is called Toxicity... and can be dangerous...You will be on this medication for life... so it is important to know these signs and to report them to your doctor.
The important thing to monitor with this medication is for symptoms of too high thyroid levels....
1. too fast heart rate : check your pulse at rest...if it is above 100, call your doctor and hold the medication until other directions are given.
2. chest pain / palpitations: report this to your doctor right away.
3. headache, nervousness, insomnia, sweating, shaking, or diarrhea
4. weight loss of more than 2 lbs in a week.
These are all symptoms that your dose is too high and may need to be held for a few days or decreased the dose. Stop taking the medication and report it to you doctor right away.
P.S. If you do not know how to take your pulse, email me and I will walk you through it.
Good Luck to you!"
Imaka replied: "There are actually some foods that do interfere with the absorbtion of thyroid meds. And you are probably not yet on your full dose of thyroid medication. Most likely when it is all sorted out you will lose the weight you are gaining. Just continue to eat a healthy diet and get some exercise. I have been taking thyroid medication for many years, and after I started it was the first time in my life I actually could lose weight, so I think that will be ok when your dosage is sorted out. In the meantime here is a link that will tell you a little about the foods. Best of luck. This will all get sorted out soon."
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