Hi, that is a very low dose. How is your Ft4 and Ft3? Do you have any recent labs?

I'm really sensitive to thyroid hormones - so I'm one of those people who DOES get a killer headache with every increase. It DOES go away, but it can take a while (in my case days or weeks).

I have not gotten my levels checked since!!! I didn't get headaches at the start of the medication, I started getting them recently within the last month or month and a half!! Headaches are pretty painful :-(

Hi! You are supposed to get your labs done again in 2 months after starting a Synthroid type med. It's more than likely NOT enough. Headaches are usually a hypo symptom .25 is a starting dose.The you go up from there after labs, usually.

I do not agree since I had headaches and heart palms ending up in ER when the Synthroid dose was too high. That can be dangerous and for me they got worse not better. I would recommend calling your dr and explaining the way you feel. Do not wait thinking they will go away....when we have pain it is the bodies way of saying something is not right.

Oops....meant heart palpitations....this iPad is tricky to type on. :)

Yes as Bransnana said levels must be checked every 2 months until your Ft4 and Ft3 are right for you.

Other important test are complete iron lab, B12, adrenals, Vitamin D3.

I wasn't aware levels have to be checked every 2 months, I thought it was every 6 months???

6 months is waaaaay to long to wait to get your labs checked and subsequent dosage adjustments.

You shouldn't have to wait any more than 6 weeks for your labs and medication adjustments. If you do....get another doctor.

So sorry to hear about the headaches!

I thought I remembered you sharing some labs at one point so I clicked on the "view more posts" section of your avatar.

Your labs in May showed the need for a dose increase and this could very well explain the development of your headaches - your body isn't getting enough of the thyroid hormone it needs.

Thyroid textbooks indicate that people who are optimally medicated on levothyroxine (Synthroid is one brand) will have TSH 1.0 or lower.

In addition, they will have FT4 levels near the high end of the range and FT3 levels in the upper third of the range.

None of the levels you shared back in May met this criteria :(

And, just as others have mentioned, 25mcg is a very low dose and is really just a starter dose.

Most people take much higher doses. For example, I take 125mcg (along with 10mcg Cytomel).....others might do well on just 75mcg and some people take as much as 200mcg or more.

A thyroid-savvy doctor will run labs every 6-8 wks. and adjust the dose until the patient's labs are similar to the optimal levels indicated in thyroid textbooks....with the goal of complete symptom elimination.

Since your doctor found no need to increase your dose for whatever reason, maybe you could ask him/her to Rx an increase to see if it helps you feel better.

You could point out that all of your levels have "room" to move and still fall within the normal range.

You're not asking for anything unreasonable....you are asking the doctor to try something that might relieve you from your symptoms.