Just wanted to answer your question, which is "why aren't the rules the same for everyone?"
The rules actually come with your medication.
I'm going to give you the rule and (the reason for it following the rule: )
1. take your meds in the morning, ( if you've been sleeping you wake up with an empty stomach)
2. by mouth with an 8oz glass of water ( you need a full 8 oz to flush your pill to the middle part of the intestine... as the jejunum is where thyroid hormone is primarily taken up)
3.Wait an hour before eating.(because food can interfere with your meds absorption)
4. Wait 4 hours before taking vitamins, minerals, antacids, other prescription medications, high fiber. Avoid soy protein.(all these things interfere with your meds absorption)
5. Take your medication at the same time every day.(this sets up a natural rhythm for your body, where your body can rely on a surge of thyroid hormone).
The reason why people don't follow the rules that come with the medication insert is because its often difficult for people to wait an hour or so before eating , be consistent, avoid all the things that you need to avoid within 4 hours.
For example, many of us like to start the day with a high fiber breakfast cereal with a full days worth of vitamins and minerals. If you have that for breakfast on some days and not others, your TSH and thyroid hormone is going to bounce around, because that type of breakfast blocks the absorption of your thyroid hormone, since its eaten too close to your medication.
When there's problems following rules, people start looking for workarounds that fit their personality and scheduling... which is why you've got so many different ways of taking your meds.
As long as you're consistent, your medication can be raised or lowered around your habits.
Hope this was helpful...
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