| 1. Always take on an empty stomach. At least 4 hours | | | | discuss with your physician a change in your dose of |
| after your last food and 1 hour before you eat any | | | | thyroid prescription. |
| additional food. | | | | 8. Take your antidepressant separately from your |
| 2. Always take your thyroid drug with no other | | | | thyroid prescription. Taking them together may |
| medications. | | | | accelerate the effects of both medications. |
| 3. Wait at least 2 hours after you take your thyroid | | | | 9. Cholesterol lowering medications should be taken at |
| prescription to take anything with high iron content | | | | least 4 hours after your medication. |
| (chicken or beef liver, sardines, spinach, or even a | | | | You are not alone. |
| multivitamin and mineral supplement). | | | | Let me tell you my own story. I was very sluggish. My |
| 4. Avoid eating large quantities of food that are known | | | | hair was thinning. I felt like my mind was in a thick fog. I |
| to act like anti-thyroid prescriptions. These foods | | | | could look at food and gain weight. When my TSH |
| include: Brussels sprouts, millet, cassava, cauliflower, | | | | was first checked it was 84. I was put on Synthroid. |
| turnips, and rutabagas. | | | | My TSH shot down to less than 0.03 and stayed that |
| 5. Take antacids (like TUMS) at least 2 hours after | | | | way for over six months. My thyroid was finally |
| your thyroid prescription. Antacids may slow or diminish | | | | radiated into submission. Thru the years my TSH |
| the absorption of your prescription. | | | | never stayed stable. My symptoms have not subsided. |
| 6. Eat calcium-rich foods at least 2 hours after your | | | | I have followed the above steps for taking my |
| thyroid prescription. Calcium-rich foods include: milk, | | | | medication properly and have since I first started taking |
| fortified juices, yogurts, and cheeses. | | | | it. So it is not a matter of non-compliance or improperly |
| 7. Be aware that if you start taking a birth control pill or | | | | taking my medication. |
| other hormone replacement therapy, you may need to | | | | |