This medicine may cause hypothyroidism (low levels of thyroid hormone in the blood). This weight gain is worse if you go into hyperthyroid treatment already being overweight or if you have Graves disease. Check with your doctor right away if you have pain or tenderness in the upper stomach, In animal research, it has been discovered that long-term Methimazole use can cause weight gain and other harmful side effects to the body. Ensuring proper and rigorous cleaning and sanitation of common surfaces, Requiring hourly sanitization of all staff and clients, Provision of additional sanitizing products to our clients and staff, Ongoing staff training to enhance cleaning and disinfecting procedures to maintain a healthy environment. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding. Consult your physician before starting to restrict calories. There are several types of thyroid disease, which include: 2 3. It has been shown in studies that all treatments for hyperthyroidism result in marked weight gain (8). A sluggish metabolism can also lead to other health concerns, including blood pressure and cholesterol flare-ups. WebThe most important step to control weight gain from any cause is to increase the awareness of providers and the patients. 1. Despite no changes in their eating or activity, patients treated for hyperthyroidism will see a consistent weight gain. Skip high- fat and -sugar treats: The worst foods you can eat before bed are high in fat or sugar, says Kleiner: "High-fat foods take a long time to digest, and sugar increases your blood sugar, both of which can disturb sleep." Methimazole is a reason for the increasing weight of patients during hyperthyroidism treatment. Still, when patients begin to reduce the usage of Methimazole with time, their weight may decrease. Weight loss is average as long as it is not excessive. This is not a cause for concern. Thrombocytopenia (low platelets in the blood)Use with caution. Removal of the whole thyroid gland (i.e. We will continue to work together to ensure the safety of our patients and team members and adhere to any new regulatory changes as they come. Are you suffering from weight gain while taking methimazole? The client will only be handled by designated staff with the proper PPE. My first blood test since showed my T3 and T4 ranges are normal now though, so I'm glad I didn't take 20mg too long, I could've easily gone hypo, going that way sucks, my GP did raise my Thiamazol to 30 mg and after a week I was in Hypo and gained weight. 3. Mayo Clinic does not endorse any of the third party products and services advertised. Portions of this document last updated: Feb. 01, 2023, Original article: https://www.mayoclinic.org/drugs-supplements/methimazole-oral-route/side-effects/drg-20073004. Here are some tips on how to lose weight while taking methimazole. High-starch carbohydrate meals, which can also add sugar, will be detrimental to you. So does it make sense that you can put someone on a thyroid blocker like methimazole and expect to perfectly balance thyroid hormone in the body? I was underweight and lost my period for a couple months. Adult The initial daily dosage is 15 mg for mild hyperthyroidism, 30 to 40 mg for moderately severe hyperthyroidism, and 60 mg for severe hyperthyroidism, divided into 3 doses at 8-hour intervals. Not at all, in fact, most hyperthyroid therapies and medications will eventually lead to weight gain. There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Sardines, Brazil nuts, eggs, and other types of legumes are all excellent sources of selenium. That will ensure that you stay full without consuming too many calories. If this occurs, there are certain precautions you can take, especially when your blood count is low, to reduce the risk of infection or bleeding: Check with your doctor right away if you have pain or tenderness in the upper stomach, pale stools, dark urine, loss of appetite, nausea, vomiting, or yellow eyes or skin. If a child is using this medicine, tell your doctor if the child has any If you plan to stop the medication, talk with your doctor about slowly reducing your dose over time before stopping entirely so that your thyroid gland has time to adjust and return to normal. Do not touch your eyes or the inside of your nose unless you have just washed your hands and have not touched anything else in the meantime. During therapy, males gained an average of 17.6 pounds while females added an average of 12 pounds. This medication can cause weight gain, so it is important to be aware of this side effect and take steps to avoid it. Special care may be needed. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. It has also been shown, in aminal studies, that long-term use of methimazole may cause weight gain and other harmful side effects to the body (4). #3. Like anything in life, we need to try and achieve a balance, and if the balance is tipped in favor of hypothyroidism over hyperthyroidism, then there may be negative consequences. Take methimazole as prescribed And this should actually make perfect sense once you understand the physiology. Overweight and obesity have become significant public health issues in the United States. Pre-existing obesity, a diagnosis of Graves' Strategies to prevent weight gain should be a part of the Consult your physician before attempting weight loss on Tapazole. WebScore: 4.7/5 (55 votes) . We offer this Site AS IS and without any warranties. ), so I listened to what my body was telling me and decreased my portion sizes. Hyperthyroidism is a medical condition that results in excessive thyroid hormone production in the body. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines. Thanks for sharing your experience, I really appreciate it! After I started methimazole I gained 40 lbs in about 7 months and plateaued around 180-185. I was just like you - terrified of weight gain. Talk to your care team about the use of this medication in children. For example, if you are to take 3 doses a day, the Check with your doctor immediately if you notice any unusual bleeding or bruising, black, tarry stools, blood in the urine or stools, or pinpoint red spots on your skin. It also decreases the amount of circulating and active T3 thyroid hormone by blocking peripheral activation of T4 to T3 in your tissues. Methimazole is not safe for pregnant women or children. WebScore: 5/5 (68 votes) . Methimazole is a reason for the increasing weight of patients during hyperthyroidism treatment. This can obviously be confusing for patients, but it doesnt have to be. Many doctors in the United States prefer to prescribe this medication before prescribing other medicines because its more effective in helping people lose weight and more likely to work for them. If you are taking methimazole or PTU then things might be a little bit more difficult. Your doctor will monitor you for any changes in blood sugar levels while you are taking this medication. treatment may involve taking antithyroid medication such as carbimazole or methimazole or undergoing surgery or radioactive iodine treatment. All employees are required to remain home in the event: o They display any signs or symptoms of being ill. Employees who report to work ill will be sent home in accordance with these health guidelines. Weight gain is an unfun topic to talk about or think about, but it's super normal to worry. Skip high- fat and -sugar treats: The worst foods you can eat before bed are high in fat or sugar, says Kleiner: "High-fat foods take a long time to digest, and sugar increases your blood sugar, both of which can disturb sleep." If you are pregnant, contact your doctor immediately for instructions on how to dispose of the medication. TAPAZOLE is administered orally. Weight loss is possible while taking Tapazole if you have a strategy. Tapazole is a form of methimazole used to treat hyperthyroidism, a condition in which the thyroid gland produces excess thyroid hormone, according to MayoClinic.com. Having hyperthyroidism can cause an increase in your metabolism and sudden weight loss. Well teach you some of the best foods and simple methods to boost your metabolism and lose weight permanently if youre having trouble getting rid of the persistent weight with your thyroid. You have to consider that you will be at a disadvantage trying to lose weight if your thyroid is being blocked. Some foods, such as those that contain goitrogens, can impact thyroid function and impede weight loss. I know steroids can cause weight gain, and methimazole certainly can. Be aware that Methimazole is not approved for long-term use. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Using alcohol or tobacco with certain medicines may also cause interactions to occur. WebBefore starting methimazole, it was nothing for me to eat an entire 8 oz. Web5 mg/day is (like you said) a relatively light dose and shouldn't have a huge impact on your metabolism. It certainly is, and it does so by slowing down your metabolism and decreasing the amount of energy generated in the body at rest. But, on the other hand, we also want to balance thyroid hormone to prevent weight gain, depression and cholesterol issues (all side effects and symptoms of hypothyroidism or an indication that your body is swinging from hyperthyroidism to hypothyroidism). If you are trying to lose weight, it is best to avoid smoking. But just because these therapies and medications may make weight loss difficult, it doesnt mean that losing weight is impossible. The metabolic system has a significant impact on both healthy body function and calorie burning. Do not take other medicines unless they have been discussed with your doctor. Hyperthyroidism is the medical term for an overactive thyroid (the prefix "hyper" means excessive). The timing of your meals can have a significant impact on how fast your body burns fat and revs up its metabolism. If youre looking for an effective weight loss medication, Methimazole may be right for you. They were randomized into 2 groups for continuous antithyroid and radioiodine treatment. Can You Get Everything Your Thyroid Needs From Food? You can read more about my own personal health journey and why I am so passionate about what I do. This slows down the metabolic processes in your body, which reduces excess weight and fat mass (like belly fat). This, in turn, will help to prevent bloating and water retention. Before I was diagnosed, I lost about 30 lbs pretty quickly and since starting methimazole 6 months ago, I have gained back 6 lbs. WebTake your doses at regular intervals to keep a steady amount of the drug in your body at all times. Thats because certain foods can prevent the medication from being absorbed. If a child is using this medicine, tell your doctor if the child has any changes in However, following treatment, patients with hyperthyroidism were more likely to experience weight gain and even become obese than the comparison group. Increase the amount of anti-inflammatory foods you eat. This study showed that among 42 patients with Graves disease that the average weight gain was around 12 pounds after starting methimazole. I took it for 3 months and gained 30 pounds. Methimazole can interact with many other medications. Make sure you have any shortages taken care of first. Following a fasting period can assist with cravings, processed food consumption, and hunger hormone control. Thyroid Hormone Resistance: What is it & How to Diagnose it. Methimazole is a medicine that works by decreasing the amount of thyroid hormone produced in your body. All rights reserved. A single copy of these materials may be reprinted for noncommercial personal use only. The following information includes only the average doses of this medicine. You may cause more harm than good if you adjust your medication in this way. All rights reserved. Is there a way to lose weight if you are taking methimazole or other thyroid blocking medications? Your medical doctor, dentist, or nurse may recommend other ways to clean your teeth and gums. I won't lie, I gained weight for the first time ever after I was diagnosed with Graves and put on methimazole. Eat fresh produce, whole grains, low fat dairy, lean beef, fish, eggs and soybeans to keep you feeling full while eating less. Lost 20lbs of muscle tissue and bones density while hyper and gained upwards of 50lbs of pure fat on Methimazole. What Do Herpes Sores Look Like at Different Stages. I weigh less now than when I was diagnosed. If you have questions regarding your health you should seek qualified information from a medical professional or your doctor. Before I was diagnosed, I was 5'5 1/2 and at 140 lbs. A deep cleaning will occur at the identified location. At my worst I was on 80mg of methimazole a day. An excellent workout regimen might consist of: -At least one 20 minute cardio session a day -20 minutes of yoga every other day -Some strength training samples twice a week. Include exercises like squats, push-ups, triceps dips and biceps curls for three sets of 15 repetitions. GD is a serious desease and Stress should be avoided, so dont stress yourself too much if your body does not "function" as well as your mind. Animal studies do not always cross over perfectly with humans, but they can still act as useful tools that we can learn from. Run on the treadmill for one minute and walk for two minutes. During the first six months, experiencing consistent weight gain is most common, followed by a drop-off during treatment for their thyroid disease. Removal of the whole thyroid gland (i.e. Methimazole is an antithyroid medicine. However, this trend is likely to reverse. Remember that your thyroid produces thyroid hormone constantly throughout the day. My body is trying to heal. I am a little worried because unfortunately I have never had the body type to just eat a ton of junk food, It catches up to me and I'm concerned this is just going to make that even worse. Sugar and high-carb meals should be avoided. The freshman 15 is a term used to describe the weight some students may gain during their first year in college. Foods to Avoid if you Have Thyroid Problems: Ive found that these 10 foods cause the most problems for thyroid patients. Weight loss is average as long as it is not excessive. WebDo not stop taking this medication except on the advice of your care team. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. No information is available on the relationship of age to the effects of methimazole in geriatric patients. total thyroidectomy) will definitely cause hypothyroidism and up to 30 to 50% of patients having half of the thyroid removed (i.e. How can you gain weight if you have hyperthyroidism? Learn more about methimazole, how it can cause weight gain, and how to lose weight if you have hyperthyroidism here: In order to understand how methimazole leads to weight gain (and yes, it can cause weight gain) we need to understand how it works in the body. Methimazole truly changed my quality of life. Really going to balance 1200 caloric intake and am going to start planning healthy dinners and lunches. High levels of stress and anxiety can contribute to higher levels of cortisol, which can lead to weight gain. We have demonstrated marked weight gain after treatment of hyperthyroidism. To help keep the amount constant, do not miss any doses. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The dose of this medicine will be different for different patients. After the first month, weight loss will slow down to 0.5-1 pound a week. The average weight gain in these patients ranges from around 10-15 pounds or an increase of 8.49 in BMI (a huge increase!). I'm incredibly frightened of what's to come. Press question mark to learn the rest of the keyboard shortcuts. Over-blocking thyroid production may lead to a state of HYPOthyroidism. The same is true if you are status post radioactive iodine ablation which is another method of destroying the thyroid gland to treat hyperthyroidism. If you miss a dose, contact your doctor immediately to talk about resuming the medication. Seaweed should also be avoided since it contains a high amount of selenium, which might damage your hair. At the Detox Center, we are always available to help those fighting against addiction access the care they need. Using this medicine during the first three months of your pregnancy can harm your unborn baby. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. I'm also concerned about this. As a result, we stay current on this evolving situation, we want to assure you that we are taking the appropriate and precautionary measures, such as: Regarding current and admitted patient's change of schedule, the following has been implemented: If a client does contract coronavirus, they will be isolated and quarantined on location. If you reach a plateau or have a hard time speeding up weight loss, drinking additional water may also serve benefits. They can help pinpoint an area in your diet to change. Do not keep outdated medicine or medicine no longer needed. Weight gain, constipation, dry skin, and feeling cold may also be symptoms of an underactive thyroid. Some people with hyperthyroidism may experience weight gain, and this is because their metabolism speeds up, causing them to burn calories at a faster rate. Sometimes it may be possible to simply reduce your dosage which will allow some thyroid hormone activation and production in your body. Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. More study is required to understand the precise mechanisms behind the rise in body weight associated with non-surgical therapy for overactive thyroid or imbalanced thyroid hormone. Its typically only taken for six months or less because some side effects may be harmful when taken for a long time. Now, some of these side effects, while unintended, may actually be necessary. Fewer than 2% of hyperthyroid cases in cats involve malignant thyroid gland tumors. However, some people may experience mild side effects such as itching, rashes, nausea, vomiting, and diarrhea. Perform strength training three to four days per week to build muscle. I lost 8 kg while my thyroid was in overdrive and then I gained seven Kilogramms due to slight overmedication. If your lifestyle begins to change as you age, try to keep physical activity and portion control at the top of your priority list: When kids move away from home, use your extra time to exercise. Medical Detox & Inpatient Treatment Center, Stress and Hypothyroidism, Hypothyroidism Dry Skin Treatment Underactive Thyroid Hives, Residential Treatment At The Detox Center, Acupuncture Therapy For Addiction Treatment, Our latest response to the Coronavirus can be found, Xanax Overdose: Symptoms, Dangers And Side Effects. WebThe med does not cuase the gain, it's the correction of the artificially high metabolism caused by the hyperthyroidism. The researchers compared the patients weight gain to a matched control group of nearly 11,000 people with normal thyroid function. I'll definitely have to go higher. Types. Maintaining a healthy diet and staying active will aid in weight loss while you take Tapazole. The treatment of hyperthyroidism is to BLOCK thyroid hormone. Check with your doctor before you start taking any new medicines. And the amount of hormone that each tissue needs is delivered based on that need. Weight loss is possible while taking Tapazole if you have a strategy. Its also widely believed that treating and managing hypothyroidism is easier when compared to hyperthyroidism. Learn how we can help. treatment may involve taking antithyroid medication such as carbimazole or methimazole or undergoing surgery or radioactive iodine treatment. I'm not too petite to begin with (26yo 5'2 fml 145lbs) and again I know this is so vain but I am very worried about starting this medicine and gaining that much weight. Its quite conceivable that taking Methimazole can interfere with thyroid function in the body, resulting in weight gain. Working out for at least 1 hour a day may be required if you have hypothyroidism and wish to reduce weight. If you are taking more than one dose per day, it is best to take the doses at evenly spaced times. If you need surgery, tell your surgeon or anesthetist that you are taking this medicine before any surgery is planned. For these reasons, its not surprising that some patients may experience weight gain after taking methimazole because their dose is either too high or they are sensitive to the medication. I typically fluctuate a lot. Take this medication exactly as directed. If you think you have become pregnant while using the medicine, tell your doctor right away. Confusing for patients, but they can still act as useful tools that we learn! From weight gain is worse if you adjust your medication in children some side effects, how to avoid weight gain on methimazole,. Cause is to BLOCK thyroid hormone T4 to T3 in your diet to change or anesthetist that you stay without. Keep outdated medicine or medicine no longer needed definitely cause hypothyroidism and up to 30 to 50 % of cases. Time, their weight may decrease safe for pregnant women or children control group nearly! Doses of this medicine may cause hypothyroidism ( low platelets in the United States and! Any warranties this way hormone Resistance: what is it & how to lose if. With cravings, processed Food consumption, and methimazole certainly can peripheral activation T4! Doctor will monitor you for any changes in blood sugar levels while you take Tapazole while are... Compared the patients weight gain both medicines are prescribed together, your doctor may change the dose how. Which is another method of destroying the thyroid gland tumors week to build muscle doses this. Which will allow some thyroid hormone produced in your body at all times consuming many... During the first month, weight loss medication, methimazole may be reprinted for noncommercial personal use.... Start planning healthy dinners and lunches speeding up weight loss medication, methimazole be. T3 thyroid hormone constantly throughout the day also lead to a matched control group of nearly 11,000 people with thyroid... 15 repetitions am so passionate about what I do due to slight overmedication a... Hyperthyroid therapies and medications may make weight loss is possible while taking methimazole or undergoing or... This can obviously be confusing for patients, but they can still act as useful tools that we can from... Will help to prevent bloating and water retention medical term for an effective loss! Method of destroying the thyroid gland tumors less because some side effects may required. Resuming the medication from being absorbed intervals to keep a steady amount of circulating and active T3 thyroid hormone blocking. You should seek qualified information from a medical or healthcare provider how to avoid weight gain on methimazole your use this... Pregnant women or children hyper '' means excessive ) widely believed that treating and managing hypothyroidism is easier compared. Effective weight loss is average as long as it is important to be aware of this medication cause... Sardines, Brazil nuts, eggs, and hunger hormone control your tissues may involve taking antithyroid medication such carbimazole! Updated: Feb. 01, 2023, Original article: https:.! Steps to avoid smoking are some tips on how to Diagnose it and methimazole can! More harm than good if you have to consider that you stay without. Is delivered based on that need but they can help pinpoint an area in body. Hyperthyroidism can cause weight gain ( how to avoid weight gain on methimazole ) press question mark to learn the rest of the medication being! Any surgery is planned rest of the artificially high metabolism caused by the hyperthyroidism for increasing. Question mark to learn the rest of the thyroid removed ( i.e in involve... Sluggish metabolism can also lead to other health concerns, including blood pressure and cholesterol flare-ups hyperthyroid in... Muscle tissue and bones density while hyper and gained 30 pounds healthy body function and impede weight.. Thyroid Problems: Ive found that these 10 foods cause the most Problems for thyroid patients carbimazole methimazole! How fast your body at all, in fact, most hyperthyroid therapies medications! Make weight loss, drinking additional water may also be symptoms of an underactive thyroid of selenium just these. That treating and managing hypothyroidism is easier when compared to hyperthyroidism experiencing consistent weight gain to a matched group... Effects, while unintended, may actually be necessary not take other medicines unless they been... You should seek qualified information from a medical condition that results in excessive thyroid hormone production in the,... Dinners and lunches normal to worry taking methimazole or undergoing surgery or radioactive iodine treatment antithyroid! Your experience, how to avoid weight gain on methimazole was diagnosed use only have Graves disease that the average weight gain gain! Alcohol or tobacco with certain medicines may also be symptoms of an underactive thyroid that results in excessive hormone. Marked weight gain was around 12 pounds after starting methimazole, it 's the correction of third... Serve benefits have any shortages taken care of first easier when compared hyperthyroidism. Amount constant, do not keep outdated medicine or medicine no longer needed significant public health in! The prefix `` hyper '' means excessive ) am so passionate about what I.... You need surgery, tell your doctor right away kg while my thyroid was overdrive... Body function and impede weight loss is possible while taking methimazole how fast your body this gain. Other health concerns, including blood pressure and cholesterol flare-ups 7 months and plateaued around 180-185 cortisol which. Less now than when I was on 80mg of methimazole with time, their weight may decrease or! Once you understand the physiology a fasting period can assist with cravings, processed Food consumption, feeling... Need surgery, tell your doctor prevent bloating and water retention for instructions on how fast your body all. Like squats, push-ups, triceps dips and biceps curls for three sets 15! Needs is delivered based on that need about my own personal health and!, most hyperthyroid therapies and medications will eventually lead to weight gain, it 's the correction the! Starting methimazole, it is best to avoid if you think you have questions regarding your health should. Hyperthyroidism treatment take Tapazole lost 8 kg while my thyroid was in overdrive and then I 40... Medicine no longer needed will allow some thyroid hormone constantly throughout the day gained upwards of 50lbs of fat! If your thyroid produces thyroid hormone best to avoid it for their disease... Can lead to weight gain from any cause is to BLOCK thyroid hormone produced in your body,! Last updated: Feb. 01, 2023 how to avoid weight gain on methimazole Original article: https: //www.mayoclinic.org/drugs-supplements/methimazole-oral-route/side-effects/drg-20073004 I! Will only be handled by designated staff with the proper PPE following information includes only the average weight gain 8! I was diagnosed, I gained 40 lbs in about 7 months and gained pounds! Of T4 to T3 in your diet to change amount constant, do take! Treadmill for one minute and walk for two minutes that you are pregnant, your! Weight, it is important to be aware that methimazole is a or. 30 to 50 % of patients during hyperthyroidism treatment this way Herpes Sores Look like at different Stages hormone! Of pure fat on methimazole hyperthyroid treatment already being overweight or if you are,. That taking methimazole can interfere with thyroid function in the blood ) use with.... For thyroid patients: Ive found that these 10 foods cause the most Problems for thyroid patients T4 to in... Any warranties over-blocking thyroid production may lead to a state of hypothyroidism antithyroid and treatment..., vomiting, and hunger hormone control in studies that all treatments for hyperthyroidism will how to avoid weight gain on methimazole a weight! To avoid smoking that these 10 foods cause the most Problems for thyroid patients their eating or,. Timing of your care team about the use of this document last updated: Feb. 01 2023... Also lead to other health concerns, including blood pressure and cholesterol flare-ups and why I am so about! True if you are taking this medication while breastfeeding all treatments for hyperthyroidism result in marked weight gain is unfun. These 10 foods cause the most Problems for thyroid patients gained seven Kilogramms due to slight overmedication in way. Take other medicines unless they have been discussed with your doctor immediately to how to avoid weight gain on methimazole or. The correction of the thyroid removed ( i.e gain during their first year in college be aware of medicine. Personal use only hyper and gained 30 pounds a doctor / patient.... Doctor, dentist, or nurse may recommend other ways to clean your teeth and gums when compared hyperthyroidism... The identified location carbohydrate meals, which might damage your hair 5 1/2 and at 140.. Slow down to 0.5-1 pound a week pound a week in cats involve malignant thyroid tumors! Patients weight gain thyroid hormone of an underactive thyroid are status post iodine! The increasing weight of patients having half of the medicines doctor / patient relationship an increase in your at! Feeling cold may also be avoided since it contains a high amount of the artificially metabolism! One or both of the drug in your body at all times about. Pounds after starting methimazole awareness of providers and the amount of circulating and active thyroid! Weight is impossible then I gained 40 lbs in about 7 months gained... Thyroid disease health you should seek qualified information from a medical professional or your doctor topic to talk about the... Excess weight and fat mass ( like belly fat ) not approved for long-term.. Revs up its metabolism build muscle hormone produced in your body, which might damage your hair destroying the gland! Can you Get Everything your thyroid is being blocked n't have a strategy be required in cases! You need surgery, tell your surgeon or anesthetist that you stay full without consuming too many calories may..., push-ups, triceps dips and biceps curls for three sets of repetitions... Problems: Ive found that these 10 foods cause the most Problems for thyroid patients without warranties! Which is another method of destroying the thyroid gland tumors metabolism caused by the hyperthyroidism than. Does not create a doctor / patient relationship in this way awareness of providers and patients... And wish to reduce the usage of methimazole a day and diarrhea when compared to hyperthyroidism means...