Twenty articles were selected for inclusion in the review. Beyond the classic tablet, new formulations of thyroxine can now be prescribed as a soft gel capsule and oral solution, which have been shown to overcome the food and beverages interference with absorption of LT4 tablets. I understand how scary this is for you. Oral L-thyroxine liquid versus tablet in patients submitted to total thyroidectomy for thyroid cancer (without malabsorption): A prospective study. Their study found that the liquid formulation resulted in a significantly greater efficacy in ameliorating these parameters. Thyroidectomy: What to Expect at Home - Alberta Prospective Intervention of a Novel Levothyroxine Dosing Protocol Based on Body Mass Index after Thyroidectomy. What Is Thyroidectomy And Why Is It Performed? Laryngoscope Investig Otolaryngol. This site needs JavaScript to work properly. Coughing up thick yellow mucous - difficulat to bring up , don't seem to be able to get a strong cough. If half (1 lobe) of your thyroid is removed, it's called a lobectomy or hemi-thyroidectomy. (18) included patients who had undergone total thyroidectomy or lobectomy, making their data not homogeneous. Problems swallowing after thyroidectomy. | Thyroid Disorders Have questions about navigating your Inspire support community or need assistance from one of our Inspire Moderators? Our literature review resulted in eight papers dealing with the administration of a liquid or soft gel capsule formulation in patients who underwent total thyroidectomy. National Library of Medicine You may have some trouble chewing and swallowing after you go home. I had my thyroid removed about 10 days ago. Patient-Reported Dysphagia After Thyroidectomy Talk to your doctor. They compared their formula to the empirical dose of 100 g and to the only weight-based dose calculation (1.6 g kg), finding that 72, 59, and 40% of patients, respectively, achieved the target within 25 g of their proper dose. weight gain of 47 pounds and still gaining. Most of the debate in the past was focused on LT4 dosage and possibly on the timing of the administration. One tip I can give that seems to help with the swallowing difficulty is to take smaller bites of food, chew well, and if necessary help them down with a few sips of water. When I do get it out, my air way closes so tight I can barely breathe in at all so I just keep choking.