Increase to 62.5 mcg daily as prescribed, then repeat TSH after 6–8 weeks to see if it comes into target range. Also check Free T4 (± TPO antibodies) if not already done. Take Thyronorm early morning on an empty stomach and avoid food/tea/coffee for 30–45 minutes.

Weight gain can happen when TSH stays high, but diet, activity, and age also matter. Don’t change doses frequently on your own — always recheck labs before further increases. If TSH remains high after 62.5 mcg, your doctor may move to 75 mcg based on results. If you’d like, I can help interpret the follow-up report once it’s done.

• You may take Thyronorm 62.5 mcg once daily (as advised by your GP) • Take it on an empty stomach with water, same time every day • Repeat TSH after 6–8 weeks (not earlier) • Target TSH is usually between 1–3 mIU/L for symptom control • If TSH remains high, further adjustment can be done stepwise Do not alternate doses daily unless specifically instructed.

• Avoid tea/coffee for at least 45–60 minutes after Thyronorm • Avoid calcium, iron, antacids, or multivitamins for 4 hours • Weight gain in hypothyroidism improves gradually after TSH normalizes • Do not focus on frequent testing—consistency matters more I understand how frustrating weight gain and changing reports can be when you’ve been compliant with medication for years. You’re doing the right thing by questioning and adjusting thoughtfully. With a small dose correction and proper follow-up, this is very manageable. If you’d like, an online consultation can help fine-tune your dose and address weight concerns in a structured, reassuring way.

Repeat sTSH after 1 month to see whether thyroid levels stay in range