[theBCnut]

Here’s the thing with giving it with food. There are several different things that affect how the body takes up the thyroid replacement, calcium, amount and strength of acid in the stomach, amount of food taken with it, certain vitamins and minerals. You can give it with food, but it needs to be the same food in the same amount, every single time. And thyroid levels need to be tested under those circumstances. Any changes affect the amount of thyroid hormone that makes it into the system. My mom has to take her thyroid replacement with food, because she has other health issue that mean she can’t wait an hour to eat. I take mine, then go do chores on the farm, and an hour later I’m ready for breakfast. Either way is ok as long as you always do it the same way, and the blood tests reflect the way you take it. That’s the only way to know that you’re giving the right dose.