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Take Synthroid with water only on an empty stomach. Take Synthroid 4 hours before or after. taking iron or calcium supplements, or antacids. Soy, cottonseed meal, walnuts, fiber, and. grapefuit juice can affect the absorption of Synthroid.
I take 88 mcg Synthroid every day and 5 mcg Cytomel 3x per day (15 mcg a day.) My endo told me to space the dosage of Cytomel every 5 hours-EX: 8:00 a.m., 1:00 p.m.inally I have some energy and brain fog is reduced after adding 15 mcg cytomel to 50mcg dose of synthroid. On synthroid alone my labs looked good, but I felt tired and foggy-headed. Cytomel reduces that tired foggy-headed feeling.