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Lancet Diabetes Endocrinol (2020) 8:41835
PMID 12351432
Practical steps to minimize this concern: Take levothyroxine immediately upon waking, before any food or other medications Wait at least 60 minutes (rather than the minimum 30) before eating, to allow more absorption time Consider splitting the levothyroxine dose if absorption seems compromised (discuss with your endocrinologist) If oral absorption becomes problematic, liquid levothyroxine or gel capsule formulations may offer more reliable absorption Dosing Requirements Levothyroxine dose is roughly 1.6 mcg/kg of ideal body weight
doi: 10.1681/asn.20203110s133c 149 PiccaAFaitgJAuwerxJFerrucciLD'AmicoD
Alzheimers Drug Discovery Foundation
The convenience of oral capsules, combined with bioavailability comparable to injection, makes this a practical choice for many
