Re: Surgeon said it did not matter
No doctor knows everything. Especially surgeons, who aren't in the business of treating hypoT day in and day out.
The best way to take it is on an empty stomach. If that's completely out of the question, then you really need to take it exactly the same way each and every day. If it's with food, it should be the same type and amount of food every time. Consistency is the real key.
You should also be aware that taking it with food will mean that you will require a larger dose than you would if you took it without food. That's fine, if your MD is willing to give you as much hormone as you need. But many, if not most, doctors aren't going to be thrilled to give you what they consider to be an atypical dose. This could leave you under-replaced and symptomatic.
If you regularly get up in the middle of the night for a potty pit stop, you could take it then. But then, you're young, so you may not have experienced that need yet.