Advice & Tips:
I was diagnosed with hypothyroidism a short time after being diagnosed with lupus. I started this drug on a small dosage, and my doctor gradually increased it according to blood work. The only burden of taking it is that you have to always have it when you wake up, then wait 30 minutes - 1 hour before eating.
At one time, I was on too high of a dosage and I could feel it. I was jittery (my lips would actually tremble after I ate to a degree only I could notice, but still discomforting). I had swung to being hyperthyroid, and had to stop the drug cold turkey. Then a few months later after I was hypo again, I found a new thyroid doctor who encourages only small increments over a long time. It is an annoying method, because I want just a quick fix and to feel better instantly, but I understand his science and reasoning because being hyper can lead to thyroid disease.