Hypothyroidism Treatment

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Levothyroxine is by far the drug of choice in conventional treatment of hypothyroidism. This is a synthetic copy of the hormone thyroixine, the hormone produced by the thyroid gland. The body to triiodothyronine then converts it, which is more active in regulating metabolism. While many doctors have long believed that there is a big difference in effectiveness between generic and brand name versions of this drug, it has been shown that in fact there is no real difference. If cost is a factor, you may wish to discuss this with your doctor. The brand name versions typically cost two to three times more than the generic.

If you do not respond to levothyroxine, it may be that your body has difficulty converting T4 to T3. In that case, Liothyronine, which is synthetic T3, may be tried. The dosage must be monitored carefully, as over dosage can cause hyperthyroid symptoms.

Natural thyroid hormone is available by prescription, but is rarely used today as it is considered old-fashioned and harder to tailor the dosage to an individual's needs. In severe hypothyroidism leading to coma, a combination of thyroid medication and other drugs may be given intravenously, as fast action is important.

In most cases, hormone therapy must be continued throughout life. Your doctor will likely recommend regular follow-up appointments every few months at first, then annually - to monitor your blood levels of thyroid hormone. Remember that hormone requirements can fluctuate, and it is important to be sure that you are taking the correct dosage at all times. For example, too much thyroid hormone can increase the risk of osteoporosis and heart disease, while the correct amount helps to lower cholesterol levels. Hypothyroidism is chronic disorder that cannot be cured, but that can be managed successfully.

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