April 4, 2020
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How To Take Levothyroxine Properly | Best Way To Take Thyroid Medication | When To Take Synthroid

Are you or someone you know getting the most out of your thyroid medication? well at the end of this video I promise you, you’re gonna know everything you need to know first a few facts about hypothyroidism which basically means low thyroid levels it’s quite common it affects 1 in 70 women and 1 in 1,000 men in the UK symptoms include fatigue, weight gain, sensitivity to the cold and many more so to restore thyroid levels in our body levothyroxine and similar medicines are prescribed and here’s how to take it for best results lots of patients ask me this and there’s actually quite a lot of conflicting advice online so as long as you haven’t been directed differently by a prescriber then here’s what I recommend tip 1 if you don’t take any medication first thing in the morning take it as soon as you wake up ideally 30 to 60 minutes before breakfast or any caffeinated drinks and this is my favourite mug and here’s a fun fact for everyone pharmacists love these kind of facts so if there’s any watching I hope you enjoy it so some studies show that food reduces the absorption of levothyroxine by up to 20% so that’s why we say take it on an empty stomach and that’s the fact I hope you enjoyed it tip 2 thyroid medication isn’t usually taken at night because some people find it difficult to fall asleep now it’s probably due to the relationship between the adrenal hormone cortisol and the hypothalamus pituitary axis which regulates all hormones in our body and that includes thyroid stimulating hormone tip 3 avoid taking your thyroid medication at the same time as your calcium supplements, iron supplements and antacids as these will also reduce its absorption but fear not you can still take these medicines but wait at least 4 hours after taking your thyroxine before you take them I’ve also left a link in the description below with all the
medicines that interact with levothyroxine so feel free to click on it tip 4 soya isn’t on that list but it can stop levothyroxine from working properly so if you do eat it regularly or take any soya supplements it’s worth letting your doctor know so they can do extra blood tests kelp isn’t on that list either but trust me it is a good list for medication interactions kelp contains iodine which can make an under-active thyroid worse so avoid eating it if you’re taking levothyroxine tip number 6 always let your pharmacist know that you taking levothyroxine especially when you’re starting a new medicine or you’re buying something over the counter because they can then check if there’s any interaction if you have any friends or family who take thyroid medication help them get the most out of their medicines by teaching them what you’ve learnt today or if that takes too long just like, share and tag them in hey guys thanks for watching this week’s
video make sure to click that like, follow or subscribe button now to stay
up to date with new weekly videos you’re going to know everything you need to know I hope you don’t mind you might be in the video ok with that? no come in its fine it doesn’t matter if you walk past sensitivity to the cold…….. if you can see him he’s got good muscles he works them out quite frequently but still not as good as my muscles

Randall Smitham



  1. Nick C33444 Posted on February 20, 2018 at 8:31 pm

    I have never clicked on the subscribe button so fast in my life

  2. Elle Lean Posted on May 5, 2019 at 3:41 pm

    Thank you! It really helps in my OSCE POM Counselling!

  3. chewie dawg Posted on May 11, 2019 at 4:09 pm

    from what i read thuroid meds make u gain more weight if taken with diabetes med ex janumet…what about if u work nyt shifts? is it ok to take it before u go to work instead of day time

  4. Sam Buckel Posted on May 13, 2019 at 4:27 am

    I take .075 mg of this is that a lot for this drug?

  5. Bean Tree Posted on May 30, 2019 at 5:13 pm

    Watched three videos and am immediately hooked! You're great! I have never heard of a prescribing pharmacist. I am in the U.S. and don't think we have this here. How long has there been prescribing pharmacists in the UK? Love the bloopers…adds levity…in just the right amount. You know your medicine! From a new subscriber!

  6. Gegetsik Gulatyan Posted on May 31, 2019 at 8:00 am


  7. Mahima Ishu Posted on May 31, 2019 at 1:57 pm

    Can we have ACV when we have Hypothyroid. And if yes then can we take it empty stomach before taking thyroxine?

  8. Elly Luquen Posted on June 3, 2019 at 5:09 pm

    New subscriber here. I do exactly what you said. Thank you for sharing! By any chance, do you have any tips on losing weight with thyroid?

  9. zilka1984 Posted on June 4, 2019 at 7:05 am

    Do you know if Levothyroxine can be taken with Ashwagandha?

  10. Chinnu k Posted on June 4, 2019 at 6:19 pm

    i startd my levothyroxine now 26 days.does inatke of levothyroxine causes any delay in periods to come..usulay have an 28 29 days periods interval..

  11. richard Posted on June 8, 2019 at 12:20 am

    so u dont suggest eating brazil nuts as it contains iodine while taking levo?

  12. jzr1111 Posted on June 11, 2019 at 2:38 pm

    Does protein powders affect this medication??

  13. M. Nazir Posted on June 13, 2019 at 12:38 am

    I feel like your going to jump out of my phone after every cut scene

  14. Mohammed NYC Vlogs Posted on June 13, 2019 at 11:24 pm

    Thank you

  15. Monet Babazadeh Posted on June 21, 2019 at 1:17 pm

    Ah you’re the best

  16. Erin Rose Posted on June 25, 2019 at 10:20 pm

    Thank you so much just to say everything you said to do I been doing the opposite , I'll try your way now , no-one tells you these things, first time I saw your channel , subbed

  17. Melanie Petley Posted on July 10, 2019 at 1:44 pm

    I was 16 when diagnosed (I'm now 44) and was never sat down and really told anything from my GP other than the dosage! I originally went as I was exhausted at school all the time and then a lump came up on the front of my throat so I was originally tested for glandular fever (as I had not weight at all in fact I was a skinny underdeveloped child). I have annual blood tests but now I'm starting to get menopausal symptoms (my mum went through hers in her late 40s) so I'm wondering how this will effect my thyroid levels or vice versa.

  18. Loulydollx3 Posted on July 12, 2019 at 3:36 am

    Gotta love his energy

  19. Mikeyjackson Posted on July 13, 2019 at 1:47 am

    I been on levothyroxin 25mcg for over 2 months and I finally am getting period but I’m getting such bad cramps they feel like poop cramps not period ones but when I try to use the bathroom I don’t poop. So I don’t know what’s wrong but it’s affecting my work I’m having to leave early due to my cramping. Anyone have this problem?

  20. Elaine Clements Finn Posted on July 15, 2019 at 8:20 pm

    My question is why is my hair still falling out and what component in Synthroid causes hair loss ??

  21. Jovani Camacho Posted on July 21, 2019 at 9:01 am

    I thought iodine helps with thyroid?

  22. Apostol Alex Posted on July 23, 2019 at 10:37 pm

    Is kelp still not recommended if i had my thyroid removed?

  23. Jason Chipkin Posted on July 27, 2019 at 11:32 pm

    Iodine makes a slow thyroid worse?? That's contrary to everything I have researched recently. I'm replacing Levothyroxine with iodine supplement drops and ditching the big pharma meds.

  24. ShintyShinto Posted on July 30, 2019 at 12:46 pm

    Useful, well spoken advice. Thank you!

  25. Donnette Dennis-Austin Posted on July 30, 2019 at 2:57 pm

    I've taken minds around 4:30 am to 5 am and it's worked for me but my doctor's told me to take it early but I started taking it at specific time period because once I get dressed for work, I would forget so I made it a bathroom call moment.

  26. Mandi Blackwell Posted on August 1, 2019 at 5:07 am

    As a pharmacy tech, I'd love to work with such a fun dude… zomg… lol, what if you take it in the morning but wind up falling back asleep? TT___TT for only like an hour? just to try to keep it in the morning and away from food………

  27. Molly_Mae_Vlogs Posted on August 3, 2019 at 4:05 pm

    I'm on Levothyroxine and Liothyronine. I take the Levo at night and the Lio in the morning, I also take fibromyalgia medication in the morning. I usually have coffee pretty much first thing in the morning because it helps get rid of my morning headache.

  28. Rayyan25 Khan Posted on August 11, 2019 at 9:44 pm

    I'm facing too much hair loss after hypothyroid my ferritin level is low and also white hair problem . You don't talk about it

  29. esiagent1 Posted on August 12, 2019 at 6:00 am

    It seems I've been eating too soon.

  30. Soha Bhayo Posted on August 16, 2019 at 5:19 pm

    After 30..40min of taking my thyroid medicine should I take apple cider vinegar?

  31. pam d Posted on August 18, 2019 at 8:52 pm

    Hold up so if I take metformin in the morning and pro vitamin d plus and my linagliptin in the morning should I not take my levothyroxine at same time ??

  32. Free Forever Posted on August 20, 2019 at 4:14 am

    Is it ok to take it with multivitamins which include selenium and idoin? I usualy take them after 6 hours.

  33. Tracy Ann Posted on August 23, 2019 at 9:42 pm

    I take Levothroxine for my under-active thyroid. Is it safe to take Ashwaganda while taking my Thyroid medication?

  34. Mary. A Posted on September 2, 2019 at 8:12 am

    Is there alternative to levothyroxine the side effects that I’m experiencing are dreadful weight gain, hair loss, dry skin, bad nails. What other thyroid meds are available on nhs?!

  35. Gabriela Recillas Posted on September 7, 2019 at 3:54 am

    Heck I was surprised to hear Iodine interacts negatively with Levothyroxine! I was under the impression that it helped! Thanks for the tip!

  36. Sehrish Ramzan Sehrishramzan Posted on September 13, 2019 at 6:21 pm

    i have take always morning tab thyronorm

  37. ASSORTED PRESSTITUTES Posted on September 15, 2019 at 11:55 am

    I take it just as you describe to the letter, but I'll give you a FACT about this medication in MY case – it GIVES ME depression and makes me angry.
    I had the does lowered from 100 to 75mg, but I get depression.
    As soon as I stop it the depression disappears.
    I cannot speak for everyone, but it obviously des not suit me at all.
    What is the point being a little thinner if I am to be made depressed to the point of wishing I were dead?
    For me personally this medicine is evil.

  38. akira kazmi Posted on September 18, 2019 at 4:53 am

    I thought iodine supported the thyroid? Isn't Kelp rich in iodine?

  39. KJDGDG D Posted on September 21, 2019 at 1:34 pm

    How to buy cox thyroxine medicine i from korea

  40. Jonathan Fisher Posted on September 28, 2019 at 4:26 pm

    I keep reading many places you should try to take this prescription two hours after eating a meal, not 1 hour like the video suggest.

  41. shambli dsouza Posted on September 30, 2019 at 10:36 am

    Hi my TSH is 28.01 and I'm taking eltroxin 50mg is it the right dose pls advice. Regards

  42. Bliss Posted on September 30, 2019 at 1:58 pm

    He makes things funny and fun, which makes it more tolerable to sit thru. Most of the time the 'dry as a bone' medical person has me yawning so much I switch it off. One thing he didn't cover and nobody seems to… HOW MUCH WATER SHOULD YOU TAKE WITH YOUR THYROID PILL? Also, can you take thyroid med with diet soda, or flavored water etc?

  43. Bliss Posted on September 30, 2019 at 2:00 pm

    Also, I thought KELP was good for an underactive thyroid? Because kelp has thyroid stimulating affects?

  44. V V Posted on October 4, 2019 at 6:12 pm

    Hi Abraham, My thyroid gland was removed 1.5 years ago. Usually I wake up every morning, take a pill then sleep again for an hour and then wake up. Recently, often I am feeling bad and tired, sometimes concentration (mental) on a subject is difficult for me, and even at the morning when I wake up after sleeping 8 hours I am still tired and I can not feel as energetic and fresh as I was before surgery. Thus I would like to know whether can sleeping after taking pill cause such effects?Thanks

  45. THRIQUILLED Posted on October 5, 2019 at 4:19 pm

    Pretty sure I have hypothyroidism. I pretty much have to go to the doctor for bloodwork, or is there over the counter medicine I can take?

  46. Marufa Yeasmin Posted on October 18, 2019 at 2:51 am

    Could you please tell me if levothyroxine has any issue with fiber intake? Also pls enlighten me whether I must have my breakfast within 2 hours of medication or that does not matter? Can stomach acidity causes any issue with levothyroxine absorption? Thank you so much…waiting for your reply.

  47. Lilly V Gutierrez Posted on October 20, 2019 at 12:50 am