Hello.
I’m very glad this forum is here because I could use advice. Diagnosed with papillary thyroid cancer, I had a complete thyroidectomy and neck dissection in September of 2022, and radioactive iodine treatment in December of that year. I haven’t been the same since then, even now, close to three years later. The surgery and radiation took a toll, but it was the levothyroxine that messed me up the most. I got very sick in early 2023 after I was raised from 150 mcg to 175. I was fatigued and foggy. I had trouble thinking and communicating well.
I tried T3 but it was more than I could handle. I found a new endocrinologist and went down to 150 mcg levothyroxine. I tried T3 again, and again I stopped. I stayed on just 150 mcg levothyroxine for all of 2024. I wasn’t back to my old self, but it was the best I’d felt so far, if only because I was stable at the same level. But my TSH was 1.85 and my new endocrinologist said I was risking a recurrence by not suppressing cancer enough, so I added half a 25 mcg levothyroxine tablet every morning, to be on 162.5 mcg daily. I haven’t been doing as well. My TSH is now 0.78 and my endocrinologist says it’s still risky. I went up to 175 mcg but I couldn’t tolerate it.
I wish I knew how big a risk I’m taking with my TSH at 0.78 or higher after year three. I met another endocrinologist, the fourth I’ve consulted with, who said the suppression is not considered as big a deal anymore, and most people seem to be fine with a TSH under 2. I don’t know who to believe.
I have two more years until I reach the five-year mark and don’t have to worry about hormone suppression. I’ve heard I will adjust to levothyroxine eventually, so I’m holding out hope for that. Or perhaps I should try Armour Thyroid.
Thanks for reading, I’d be grateful for any tips.
Hi ByeByeBowtied30ad4 and a very warm welcome to the online community which I hope you'll find is both an informative and supportive place to be.
I’m Anne, one of the Community Champions here on the Online Community and, although I'm not a member of this group, I noticed that your post hadn't had any replies yet. Responding to you will 'bump' it back to the top of the discussion list again.
While you're waiting for replies, it would be great if you could put something about your diagnosis and treatment into your profile as it really helps others when replying to you and also when looking for someone on a similar pathway. It also means that you don't have to keep repeating yourself. To do this click on your username and then select 'Profile'. You can amend it at any time and if you're not sure what to write you can take a look at mine by clicking on my username.
Thank you so much. I've edited my profile.
Hello,
I too had a total thyroidectomy 3 years ago, followed by radiodine. My TSH level ideal is suppressed to <0.1
I have been having issues with getting the dosage at optimum levels because too much levothyroxine (100 -125 mg) was causing palpitations and anxiety and other symptoms. Too low (75mg) levothyroxine was causing weight gain, feeling sluggish and lots of brain fog
so, we have found a solution which currently works for me - 75mg Monday to Thursday and 100mg Friday to Sunday. this suppresses my TSH to <0.2 , a little more than the oncologist was aiming for but as I feel better on this, he is happy to keep to this level.
perhaps you may want to ask your team whether you can have a similar approach - 3-5 days on the lower dose and the rest on a slightly higher. Again it was trial and error for me because we started at 5 days lower and 2 days higher.
the other option for me was going to be an addition of liothyronine if we needed to suppress the TSH without tinkering with the levothyroxine. I am not at that stage yet.
i hope this helps
regards,
Thyroidbabe,
Thank you for sharing this. Yes, getting to a more precise dose by alternating is something I'm discussing with my new endocrinologist. Right now I'm waiting for my next blood test.
Good luck in your own suppression quest.
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