Originally Posted by Pamela J.
I had a total thyroidectomy 3 1/2 weeks ago. I am on synthroid 100 mcg. I had labs done and they were all within normal limits. I'm kind of surprised by that, because I was under the impression that 100 is a fairly low dose. I guess I thought my TSH would be higher. It was 3.85. Is this an indication that I will be easy to regulate, or could that TSH still go up. I guess I'm not sure what to expect in the early weeks after surgery.
How much do you weigh? Your dosage will strongly depend upon your weight. And unfortunately, (something they forgot to mention to me before my total thyroidectomy) it also depends on how much tissue they actually removed. In my case, I was told that I was having a complete thyroidectomy and weigh 210 lbs. Typically my dosage should be at 200. My endo put me on 175 and after 6 weeks my levels were super hyper. She put me on 127, and still, my levels were super hyper. We then did an ultrasound which showed that 1/2 of each thyroid was still there.. I guess this is typical, heck if I know, I'm still ****** about it.. but I digress... I'm now on 100 for the next 4 weeks to see how this effects my levels.
However, expect to play a yo-yo game after your surgery. The doctors just don't know exactly how much you are going to need. Some doctors start out low and work up. Some start out high and work low. It takes 4-6 weeks for your levels to level out to "accurate". You should be scheduled for a blood test at 4-6 to test your levels. They will look and see where you are at, and modify your dosage according to that.