Thread by @DrSarahAlam

I had a difficult time convincing a patient with newly diagnosed Primary Hypothyroidism that she needs to be started on LEVOTHYROXINE asap. Her main concern, similar to many other patients, was that,“Once I start medication, I will have to continue for life.” 1/5
#Hypothyroidism

Yes, it’s true that Levothyroxine needs to be taken life-long in patients with autoimmune condition - Hashimoto’s thyroiditis. But the reason is not that - once you start, you won’t be able to stop. Similar logic is used with Insulin. 2/5

Levothyroxine or Insulin do not have addiction potential. It’s not akin to cocaine. You don’t have to take it because some doctor started you on this medication and your body has become “addicted” to it. You have to take it because your body requires it! 3/5

Its like saying that I have myopia and I can’t see distant objects clearly but if I start using spectacles,I will have to use it life-long. I will become addicted to it. Yes you need spectacles to see clearly. Similarly, you need Levothyroxine for body to function optimally! 4/5

Untreated severe hypothyroidism can cause a number of health issues including weight gain, body pain, infertility, miscarriage, menstrual problems, pericardial effusions, and can even land you in emergency with hyponatremia/myxedema coma 5/5
#MedTwitter

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