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Levoxl has a narrow therapeutic range. Therefore your doctor is going to continually monitor your blood work to make sure, where your TSH levels are and whether or not your dose needs to be adjusted. Fatigue is also a side effect of the medication. So your doctor might be titrating the medication, to see, whether your dose is the problem or its simply a side effect.

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Q: Your TSH is 0.054 and your doctor wants to decrease your levoxl and you still feel fatigue so why would she want to lower then increase the medication?
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