Is medication required for hypothyroidism?

Jul 21, 2025 Source: Cainiu Health
Dr. Yang Chuanjia
Introduction
Hypothyroidism generally refers to hypothyroidism. In general, medication is needed when symptoms are evident and hormone levels are significantly abnormal; when symptoms are mild and hormone levels are close to normal, medication may not be necessary. In daily care, it is important to stay warm and avoid prolonged exposure to cold environments. Maintain a regular作息 (作息 should be translated as "routine" or "作息 time," but since it's repeated here, it might be better to use "routine") routine and avoid excessive fatigue.

  Hypothyroidism generally refers to underactive thyroid function. Generally speaking, medication is required when symptoms of hypothyroidism are evident and hormone levels are significantly abnormal; medication may not be necessary when symptoms are mild and hormone levels are close to normal. Detailed analysis is as follows:

  Situations where medication is not required are usually cases of very mild disease, where slight hormone level abnormalities are detected only during examinations, without obvious symptoms such as cold intolerance, fatigue, or decreased appetite, and without affecting daily life. In such cases, regular follow-up tests can monitor hormone changes, and drug intervention is temporarily unnecessary.

  Situations requiring medication include the presence of clear symptoms such as cold intolerance, weight gain, slowed heart rate, and mental lethargy that affect normal life; or examination results showing significantly abnormal hormone levels and markedly reduced thyroid function. Patients need to take medications such as levothyroxine sodium tablets, thyroid tablets, and alfacalcidol soft capsules under medical guidance to supplement hormones, maintain normal body metabolism, and relieve symptoms.

  In daily care, it is important to stay warm and avoid prolonged exposure to cold environments. Maintain a regular sleep schedule and avoid excessive fatigue. Diet-wise, appropriately consume foods rich in protein and iodine, such as eggs and kelp. Continue with regular follow-up tests for thyroid function to monitor disease progression and maintain normal body functions.

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