See an endocrinologist or primary care clinician for diagnosis and ongoing management
Take levothyroxine if prescribed
Take thyroid medication consistently at the same time each day
Take thyroid medication on an empty stomach
Avoid taking thyroid medication with calcium, iron, or antacids
Monitor TSH and free T4 levels regularly
Adjust medication dose based on lab results and symptoms
Eat a balanced diet
Ensure adequate iodine intake without excess
Maintain sufficient selenium intake if recommended by a clinician
Address vitamin D, B12, and iron deficiencies if present
Exercise regularly
Maintain a healthy body weight
Get adequate sleep
Manage stress
Stop smoking
Limit alcohol intake
Treat associated autoimmune or hormonal conditions if present
Follow up promptly for worsening fatigue, weight changes, constipation, hair loss, or cold intolerance
Seek urgent care for severe symptoms such as chest pain, shortness of breath, or confusion