Today at Doctor’s Choice Pharmacy, we received a prescription for compounded levothyroxine from a local doctor’s office. Shortly after, the doctor’s assistant called and asked, “We usually prescribe standard levothyroxine tablets for hypothyroidism. Why would a patient need a compounded version?”

I was happy to explain. “Great question! Compounded levothyroxine is ideal for patients who need:

✔ Customized Dosing – Some patients require a specific strength not available in standard tablet doses.
✔ Filler-Free Formulations – Commercial thyroid medications contain fillers, dyes, and preservatives that some patients are sensitive to. We can compound it without gluten, lactose, or artificial additives.
✔ Alternative Forms – Not all patients can swallow tablets. We can prepare levothyroxine as a liquid or capsule for better absorption.
✔ Bioidentical Formulation – Some patients respond better to compounded T4-only (Levothyroxine) or T4/T3 combinations rather than commercial options.”

The assistant nodded. “That makes sense! How does a doctor decide if a patient needs a compounded version?”

I explained, “If a patient experiences persistent symptoms like fatigue, weight gain, hair loss, brain fog, or irregular metabolism despite taking standard thyroid medication, a compounded version might help. Some patients also have autoimmune thyroid disorders like Hashimoto’s and are sensitive to fillers in commercial pills.”

She then asked, “What’s the best way for patients to take compounded levothyroxine?”

“It should be taken on an empty stomach, 30-60 minutes before breakfast, with a full glass of water,” I said. “Consistency is key—taking it at the same time every day ensures optimal absorption.”

Before we ended the call, I added, “Since compounded levothyroxine isn’t commercially available, we prepare each dose fresh in our pharmacy according to the doctor’s prescription. We also offer free delivery, making it easier for patients to stay on track with their thyroid health.”

She sounded impressed. “That’s great to know! I’ll make sure we consider this option for more patients who struggle with standard thyroid medications.”

At Doctor’s Choice Pharmacy, we specialize in customized thyroid medications, ensuring every patient gets the right dose, the right formulation, and the best care possible.

Until tomorrow,
Rania – Your Friendly Pharmacist at Doctor’s Choice Pharmacy

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