I noticed that after taking synthroid, without eating, my readings increase by 30 to 40 points.

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Frequency not reportedChanges in symptom presentation for diabetes and adrenal cortical insufficiencyRef]

The list of drug-thyroidal axis interactions in Table 2 may not be comprehensive due to the introduction of new drugs that interact with the thyroidal axis or the discovery of previously unknown interactionsThe prescriber should be aware of this fact and should consult appropriate reference sourcese.gpackage inserts of newly approved drugsmedical literaturefor additional information if a drug-drug interaction with levothyroxine is suspected.

The goal of replacement therapy is to achieve and maintain a clinical and biochemical euthyroid stateThe goal of suppressive therapy is to inhibit growth and/or function of abnormal thyroid tissueThe dose of SYNTHROID that is adequate to achieve these goals depends on a variety of factors including the patient’s agebody weightcardiovascular statusconcomitant medical conditionsincluding pregnancyconcomitant medicationsand the specific nature of the condition being treatedsee WARNINGS and PRECAUTIONSHencethe following recommendations serve only as dosing guidelinesDosing must be individualized and adjustments made based on periodic assessment of the patient’s clinical response and laboratory parameterssee PRECAUTIONSLaboratory Tests

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.

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