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Endocrinology

Levothyroxine Dose Titration Calculator

Calculate levothyroxine starting dose or TSH-based titration adjustment. Per ATA 2014 and ATA 2017 pregnancy recommendations.

kg
years
Enter weight (and TSH/current dose if titrating) to see recommendation.
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Clinical Disclaimer: Always check TSH no earlier than 6-8 weeks after a dose change. Take thyroxine on empty stomach, 30-60 minutes before food, and never with calcium, iron, PPIs, or soy. In pregnancy, increase dose by ~30% immediately on confirmation and recheck TSH every 4 weeks until 20 weeks. Always verify against your local prescribing reference and apply clinical judgment.

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