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What Causes When Armour Thyroid And Levothyroxine Taken Together?

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Posted on Thu, 2 Apr 2015
Question: Can I take Armour Thyroid and Levothyroxine together?
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Date of Last Result Test Result Reference Range Flag XXXXXXX 09, 2015 Sodium Level
138 mEq/L
132-141 XXXXXXX 09, 2015 Potassium Level
4.1 mEq/L
3.6-5.1 XXXXXXX 09, 2015 Chloride Level
100 mEq/L
101-111 L XXXXXXX 09, 2015 Carbon Dioxide Level
25 mEq/L
22-29 XXXXXXX 09, 2015 Anion Gap
13.0 mEq/L
10-12 H XXXXXXX 09, 2015 Blood Urea Nitrogen
11 mg/dL
8-20 XXXXXXX 09, 2015 Creatinine
0.67 mg/dL
0.90-1.30 L XXXXXXX 09, 2015 Estimated GFR (African American)
> 59
>59 mL/min/1.73m2 XXXXXXX 09, 2015 Estimated GFR (Non-African XXXXXXX
> 59
>59 mL/min/1.73m2 XXXXXXX 09, 2015 BUN/Creatinine Ratio
17.0
6.0-22.0 XXXXXXX 09, 2015 Random Glucose
92 mg/dL
70-99 XXXXXXX 09, 2015 Urine Random Creatinine
141.30 mg/dL
28.0-217.0 XXXXXXX 09, 2015 Urine Random Microalbumin
1.2 mg/L
< 19.0 XXXXXXX 09, 2015 Urine Microalbumin/Creatinine Ratio
0.0 mg/g
< 30.0 XXXXXXX 09, 2015 Calcium Level
9.3 mg/dL
8.9-10.3 XXXXXXX 09, 2015 Total Bilirubin
0.6 mg/dL
0.2-1.2 XXXXXXX 09, 2015 Aspartate Amino Transf (AST/SGOT)
19 U/L
15-40 XXXXXXX 09, 2015 Alanine Aminotransferase (ALT/SGPT)
23 U/L
12-41 XXXXXXX 09, 2015 Alkaline Phosphatase
78 U/L
43-140 XXXXXXX 09, 2015 Total Protein
7.0 g/dL
6.5-8.1 XXXXXXX 09, 2015 Albumin
3.9 g/dL
3.0-5.5 XXXXXXX 09, 2015 Globulin
3.0 g/dL
2.3-3.5 XXXXXXX 09, 2015 Albumin/Globulin Ratio
1.0
1.0-2.5 XXXXXXX 09, 2015 Triglycerides Level
117 mg/dL
<150 XXXXXXX 09, 2015 Cholesterol Level
210 mg/dL
140-200 H XXXXXXX 09, 2015 LDL Cholesterol, Calculated
142 mg/dL
0-129 H XXXXXXX 09, 2015 VLDL Cholesterol, Calculated
23 mg/dl
14-48 XXXXXXX 09, 2015 HDL Cholesterol
45 mg/dL
35-85 XXXXXXX 09, 2015 25-Hydroxy Vitamin D Total
17 ng/mL
. L XXXXXXX 09, 2015 25-Hydroxy Vitamin D2
<1.0 ng/mL
. XXXXXXX 09, 2015 25-Hydroxy Vitamin D3
17 ng/mL
. XXXXXXX 09, 2015 Thyroid Stimulating Hormone (TSH)
0.71 mIU/mL
0.49-6.31 XXXXXXX 09, 2015 Free Thyroxine
1.89 ng/dL
0.78-1.23 H
doctor
Answered by Dr. Chobufo Ditah (9 minutes later)
Brief Answer:
Choose one only and take!

Detailed Answer:
Hi and thank you so much for this query.

Please, these medications contain the same active ingredient. Taking both poses you to toxic levels of thyroid hormone supplementation. I will recommend you take one and stick to it and not both. This may be the reason why your free thyroxine is higher than expected should you be taking both. At this time, your laboratory tests are satisfactory. Talk with your doctor to address the cholesterol problem.

I hope this helps. I wish you well. Thanks for using our services and do feel free to ask of more information and clarifications if need be.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (16 minutes later)
I have only been taking both for about a week now, so the lab results would not reflect both medications. I was only on the Armour at the time these labs were taken.

I have also been recently diagnosed with Hashimoto's disease, and found that the cholesterol count may be affected by this condition. I have never had an issue with cholesterol before.

Also on a continual weight gain process although I eat rather healthy, drink 60-90 ounces of water daily and do not eat 'bad' foods. Was told by my primary care doctor that this is 'genetic' and there's nothing I can do about the weight issue.

I am exhausted - every day, all day. I either can't fall asleep, or can't wake up once I am sleeping. Also the usual symptoms - hair loss, dry skin...and have a goiter on my thyroid.

I just want help in feeling better; this past year has been really bad.

Thank you!
doctor
Answered by Dr. Chobufo Ditah (4 hours later)
Brief Answer:
Have you seen an endocrinologist?

Detailed Answer:
Hi and thanks for this follow up.

I am so sorry to hear about this persistence of symptoms that you have reported. Management of hypothyroidism needs to be closely evaluated based on your symptoms and laboratory control. If you are not feeling better, it would be best to consider increasing your medication.

Being on both medications for a week, how have you felt? Have you felt a lot better? If so, there might be a reason to think you are being under medicated.

Finally, I will recommend that you see an endocrinologist if that has not been done already. Let me know what your take and plans are.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Chobufo Ditah (37 minutes later)
Thank you for your reply - I appreciate it. Yes, I have been to an endocrinologist, but (in my opinion) not a very good one. He diagnosed me with Hashimoto's and the goiter and then proceeded to tell me that I did not need to change anything except to take a walk every 60 minutes. I went to a general PA this morning, begging for a referral to another endocrinologist. They did more lab work, but I don't know if they are even doing all of the labs needed for this condition.

I'm not sure if taking both meds helped or not yet, I don't think I took both long enough, to be honest. My dosage levels on both meds have been increased and decreased so much over the past few years that It's not even making a difference overall when I take just one for a long period of time.

Is there a way to get a referral to a good endocrinologist in the East TN area?

Thank you!
doctor
Answered by Dr. Chobufo Ditah (38 minutes later)
Brief Answer:
Tell your primary care physician you need to!

Detailed Answer:
Hi,

Tell your primary care doctor and PA that you need to see another endocrinologist. This would be very helpful to you. They cannot deny you from receiving care from a different physician or oblige you to continue where you do not feel comfortable.

Treating for hypothyroidism requires a good rapport with your doctor. If that is not, then changing is the way out. Trying different drug types and dosages is pains taking to identify what the best drug for you is.

Unfortunately, I know of no endocrinologist in that area. Your doctors would know better. Talk to them and am certain they should be ready to help.

I wish you well.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Chobufo Ditah

General & Family Physician

Practicing since :2009

Answered : 6323 Questions

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What Causes When Armour Thyroid And Levothyroxine Taken Together?

Brief Answer: Choose one only and take! Detailed Answer: Hi and thank you so much for this query. Please, these medications contain the same active ingredient. Taking both poses you to toxic levels of thyroid hormone supplementation. I will recommend you take one and stick to it and not both. This may be the reason why your free thyroxine is higher than expected should you be taking both. At this time, your laboratory tests are satisfactory. Talk with your doctor to address the cholesterol problem. I hope this helps. I wish you well. Thanks for using our services and do feel free to ask of more information and clarifications if need be.