PlainPill

Levothyroxine

People mainly take Levothyroxine for energy. Based on 10 first-hand reports and 166 meta-analyses & systematic reviews in the medical literature. Ranked #376 of 1,974 overall.

31
User score
Mostly positive
50% positive10% mixed20% negative20% unclear

Of reports that state an outcome, 63% are positive.

Clinical research
AStrong research base
166
meta-analyses
296
RCTs
6,602
papers

What Levothyroxine does, according to users

Of the people who reported each effect, the share who said it got better.

4 more with fewer than 3 reports
betterno changeworse

What the research says

Systematic reviews and meta-analyses from PubMed, with their published conclusions.

AStrong research base

3+ meta-analyses or systematic reviews and 10+ randomized controlled trials in humans. The grade measures how much human research exists — read the conclusions below for what it found.

Thyroid · 2024 · Meta-analysis / systematic review
Effects of Levothyroxine Treatment on Fertility and Pregnancy Outcomes in Subclinical Hypothyroidism: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Conclusion: However, further well-designed studies are needed for pre-conceptional treatment, especially in TSH >4.0 mU/L. LT4 treatment during pregnancy had a positive effect on preterm birth; nevertheless, this was only applicable to subclinical hypothyroidism with TSH >4.0 mU/L.

PubMed 38368537 ↗
Lancet Diabetes Endocrinol · 2022 · Meta-analysis / systematic review
Association between maternal thyroid function and risk of gestational hypertension and pre-eclampsia: a systematic review and individual-participant data meta-analysis

Conclusion: Compared with euthyroidism, subclinical hypothyroidism during pregnancy was associated with a higher risk of pre-eclampsia. There was a U-shaped association of TSH with pre-eclampsia. These results quantify the risks of gestational hypertension or pre-eclampsia in women with thyroid function test abnormalities, adding to the total body of evidence on the risk of adverse maternal and fetal outcomes of thyroid dysfunction during pregnancy. These findings have potential implications for defining the optimal treatment target in women treated with levothyroxine during pregnancy, which needs to be a

PubMed 35255260 ↗
Lancet Diabetes Endocrinol · 2023 · Meta-analysis / systematic review
The optimal healthy ranges of thyroid function defined by the risk of cardiovascular disease and mortality: systematic review and individual participant data meta-analysis

Conclusion: There was a J-shaped association of FT4 with cardiovascular disease and mortality. Low concentrations of TSH were associated with a higher risk of all-cause mortality and cardiovascular disease mortality. The 20-40th percentiles of FT4 and the 60-80th percentiles of TSH could represent the optimal healthy ranges of thyroid function based on the risk of cardiovascular disease and mortality, with more than 5% increase of 10-year composite risk identified for FT4 greater than the 85th percentile in women and men older than 70 years. We propose a feasible approach to establish the optimal healthy

PubMed 37696273 ↗

Dosage people report

As stated by users — not a recommendation. Follow the label or your doctor.

dailyas reported
175 mcgdaily
125mcgdaily morning
50 mgdaily

Reported side effects

How often each side effect came up across all reports.

No side effects reported so far.

What users say

Verbatim quotes, shortened only — each links to the original discussion.

“I noticed that my levothyroxine is not working as well anymore and my tsh is high.”
Source discussion ↗
“I was switched to the typical synthetic levothyroxine and havent had the symptoms again.”
Source discussion ↗
“Was taking levo for awhile, but still feeling that DEEP nausteating tired. Levels were normal.”
Source discussion ↗
“THYROID HORMONE [LEVOTHYROXINE T4 +- LIOTHYRONINE T3]: for focus, thought speed, memory, energy, intelligence, alertness”
Source discussion ↗
“I take levothyroxine 175mcg daily.”
Source discussion ↗
Top discussions (5)

Other options for energy

User data from public discussions; research from PubMed. Information only, not medical advice — talk to a doctor before starting, stopping or combining anything. Data updated October 2, 2026. How we rate