What are the reasons?

**thyroid hormone fluctuations** People who suffer from thyroid disorders may sometimes experience fluctuations in their thyroid hormone levels. In general, as the thyroid disease progresses, hormonal fluctuations increase. Other factors such as hormonal changes, medication changes, suffering from certain diseases such as Graves', Hashimoto's, thyroiditis, etc. can also cause thyroid hormone fluctuations. Hormonal fluctuations... ### Cause of changes Thyroid hormone #### **Changing the course of the disease** Thyroid disease can progress or remain stable over time due to the natural course of the disease or important changes caused by treatment such as removal of the thyroid gland... #### **Hashimoto's thyroiditis** **Hashimoto's thyroiditis** is one of the causes of thyroid hormone fluctuations and often progresses in the first 10 years of the disease.... After the definite diagnosis and the start of treatment, thyroid antibodies may attack the thyroid gland with more force and lead to a decrease in the production capacity of thyroid hormones and thyroid hormones.. Thyroxine continues to decrease.. (T4) and triiodothyronine (T3) decrease and As a result, it leads to an increase in Thyroid Stimulating Hormone (TSH).. Graves' disease can also progress in the first few years after diagnosis.. In many cases, even when a person is on the right dose of medication, T4 and T3 levels may continue to decrease. found, may decrease the level of T4 and T3 hormones in your thyroid gland and experience symptoms of hypothyroidism... #### **Post-pregnancy thyroiditis** Some women develop thyroiditis after pregnancy... usually this disease resolves itself after delivery and thyroid hormones and thyroid-stimulating hormone return to pre-pregnancy levels. Pregnancy affects thyroid hormones for many reasons and causes thyroid hormone fluctuations.. If you are suffering from thyroid disease before pregnancy, the changes in the level of hormones will be more severe. If the previous drug is replaced with a new drug, the thyroid hormones may react to the prescription and the new drug and you may experience hormonal fluctuations... Even changing the brand and brand of drugs leads to hormonal fluctuations in a person.... According to the patient's condition, these changes can lead to an increase or decrease of T4, T3 or TSH and hypothysemia-related symptoms. ###Y.. and how to take drugs** The best time to take thyroid medication is daily and on an empty stomach... because food in the stomach delays the absorption of the medicine and by changing the balance of stomach acid, it affects the amount of thyroid hormones and causes thyroid hormone fluctuations... Thyroid medication should be taken in the morning on an empty stomach, one hour before breakfast, and drink tea and coffee at least three hours after sleep. Avoid fiber, calcium and iron supplements between three to four hours of taking thyroid medication and eating food. because these substances prevent the complete absorption of the drug... some supplements and herbal medicines can affect the level of thyroid hormone or prevent the absorption of medicine or increase its absorption.... Medicines that affect the thyroid level include special cholesterol-lowering drugs, corticosteroids and growth hormone... some herbs also neutralize the effects of thyroid drugs... it is better to consult a doctor or a thyroid specialist before taking any thyroid medication Consult yourself.. Hormone and TSH levels change with the seasons... TSH levels naturally increase somewhat in the cold months and decrease in the hot months... Click on the link at **Dr. Ahmad Fanai's office**... For consultation and appointment, you can call us via **call** .