1. Stomach acid and once again stomach acid!
Impaired absorption of thyroid medication, especially in Hashimoto’s, is very often associated with low stomach acid. If you suffer from bloating after eating, indigestion or gas, these may indicate low stomach acid. You need to fix this underlying problem. In this case, taking thyroid medication with hot lemon water (the juice of one lemon in a glass of water) or with apple cider vinegar (one teaspoon per a glass of water) can help provide enough acidity in your stomach and increases the absorption of the thyroid medication.
2. Oral Estrogen and Your Thyroid
Oral estrogens such as birth control pills or hormone replacement therapy can cause an increase in thyroxin-binding globulin. If you’re taking thyroid medication, estrogen therapy may result in an elevation of your TSH. How to fix this problem? Speak to your doctor and use transdermal options like patches and creams, which are not processed by the liver and do not have the same effect on the absorption of the thyroid medication.
3. Keep your thyroid medications at the bedside!
Take them as soon as you wake up. Wait 45 minutes and have breakfast. This will help with the absorption of the medication and will require you to take lower doses, to provide the same effect.
4. Your morning coffee has to wait!
Coffee, as well as food, lower the absorption of the thyroid medications. To prevent it, wait for at least 45 minutes (from the time you wake up), to have your morning espresso!
5. Check your gut! it matters!
Many people with Hashimoto’s have silent gut infections. H.Pylori, and other infections, can interfere with the absorption of thyroid medications. Gut infections may also trigger autoimmune thyroid disease! Some people have been able to get their thyroid conditions into remission by treating gut infections!