Thyroid dose guide

Thyroid medication dose adjustment online in Virginia and West Virginia

This guide is for a previously diagnosed hypothyroidism dose change from a recent TSH, not for starting thyroid medicine for the first time, pregnancy, or heart-rhythm symptoms.

Start online

Start a $59 online review for Thyroid dose adjustment.

For previously diagnosed hypothyroidism on levothyroxine (or desiccated thyroid/liothyronine) whose most recent TSH is outside the target range, or whose symptoms suggest the current dose is wrong. Upload your TSH result from the last 8 weeks and describe your symptoms; the physician adjusts the dose from the lab trend and symptom pattern.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response windows

Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response windows: 24/7, every day

Common symptoms

A TSH that came back high or low on a repeat test
New fatigue, weight change, or palpitations on a stable dose
Already diagnosed with hypothyroidism and taking levothyroxine

May fit online care

Adults 18 and older
A TSH result from within the last 8 weeks
Already diagnosed and on a stable levothyroxine dose
Not pregnant or possibly pregnant
No known heart-rhythm condition

Look for another care setting

Chest pain or a fast, irregular heartbeat
Severe confusion, a very low body temperature, or severe swelling with trouble breathing or swallowing
New palpitations, tremor, or feeling unusually hot or anxious after a dose change
Significant new swelling, a very slow heart rate, or worsening depression after a dose change

What to have ready

A TSH result from within the last 8 weeks (upload it)
Your current dose and how you take it
New or worsening symptoms since your last dose
Any other recent dose change from another source

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD — board-certified, cardiology-fellowship-trained, and Alpha Omega Alpha. Licensed in Virginia and West Virginia — your care is never handed off.

Verify Virginia medical license Verify West Virginia medical license Verify board certification

Does this lane start thyroid medicine for the first time?

No. This lane is only for adjusting the dose of an already-diagnosed, already-treated hypothyroidism. A first diagnosis, hyperthyroidism, or a nodule or goiter needs an in-person or specialist visit.

I just need my usual refill, not a dose change — is this the right option?

No, a stable dose without a lab change fits our thyroid medication refill option better.

See the thyroid refill guide

How soon will I know if the new dose is working?

A dose change takes weeks to show up on labs. The plan calls for a repeat TSH at 6 to 8 weeks, judged by that recheck rather than how you feel in the first few days.

Related conditions we treat

Not quite what you have? These are the closest concerns this service covers.

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