Please do not reduce the
thyroid medication dose on your own â the hair fall you are experiencing at 2 months into treatment is actually a very well-known and expected phenomenon called Telogen Effluvium. When hypothyroidism is present, hair follicles go into a 'paused' state. When the thyroid hormone is corrected with medication, these paused follicles wake up and go through their natural cycle â which includes a shedding phase first. So the hair fall is actually a sign that the treatment is working, not a sign of the dose being too high. This temporary shedding typically peaks around 6-10 weeks into treatment and then gradually improves over the next 3-4 months. Additionally, your
Vitamin D of 5.8 was critically low (normal is above 30), and severe Vitamin D deficiency is itself a major cause of hair fall â your ongoing supplementation should help with this as well.
Next Steps
Continue your current medications as prescribed. Get a repeat
TSH check after completing 2 months of treatment to confirm the dose is adequate. Do not change the dose without your doctor's guidance. Please consult me directly on Practo for a detailed evaluation.