Many patients are "treated" with levothyroxine but not optimized, meaning their TSH is within the reference range but not in the lower portion where many Hashimoto's patients feel and function best
Avoid high-fat meals : Choose meals that are higher in lean protein and complex carbohydrates
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Microdoses are dramatically below any clinically tested level, sometimes as low as 0.05 to 0.1mg
Clinicians also start at low doses to minimize side effects, and go up monthly on dosing until you are achieving weight loss at 1 to 2 lb per week