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I also take synthroid as i have no thyroid.

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Levothyroxineat doses individualized according to patient responseis effective as replacement or supplemental therapy in hypothyroidism of any etiologyexcept transient hypothyroidism during the recovery phase of subacute thyroiditis.

The adequacy of therapy is determined by periodic assessment of appropriate laboratory tests and clinical evaluationThe choice of laboratory tests depends on various factors including the etiology of the underlying thyroid diseasethe presence of concomitant medical conditionsincluding pregnancyand the use of concomitant medicationssee DRUG INTERACTIONS and DrugLaboratory Test InteractionsPersistent clinical and laboratory evidence of hypothyroidism despite an apparent adequate replacement dose of SYNTHROID may be evidence of inadequate absorptionpoor compliancedrug interactionsor decreased T 4 potency of the drug product.

In patients with secondarypituitaryor tertiaryhypothalamichypothyroidismthe levothyroxine sodium dose should be titrated until the patient is clinically euthyroid and the serum freeT 4 level is restored to the upper half of the normal range.

Take Synthroid exactly as prescribed by your doctorFollow all directions on your prescription label and read all medication guides or instruction sheetsYour doctor may occasionally change your doseUse the medicine exactly as directed.

Avoid the following food productswhich can make your body absorb less levothyroxinegrapefruit juiceinfant soy formulasoybean flourcotton seed mealwalnutsand high-fiber foods.

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