Hello. 42M, TT in july of 25 and RAI in October 25, been on steady 175mcg Synthroid since. FV-PTC, etc etc. About to go through a round of "surveillance" to see how everything is going. TSH is decently suppressed.
My question is: how has everyone managed their lifestyle (sleep, diet, exercise, intoxicants, etc) post TT and being on levo? Additionally, how much did you have to "tighten" up lifestyle in order to feel good, function adequately, etc?
Since RAI and getting out of withdrawal I've surprisingly felt halfway decent, but found my threshold for getting by on things like sleep and alcohol consumption have diminished greatly. I had one episode during and after an international business trip where i barely slept, drank but objectively not that much, and then came home to sick kids for a week and it took 2-3 weeks to recover from what I can only describe as severe hypothyroid. It didn't help i was on the last 2 weeks of a 90 day supply of my synthroid also, so who knows what degradation was happening with the meds. The type of fatigue caffeine can't budge.
My conclusion was i had to cut alcohol to near zero and get extremely disciplined with sleep as a baseline, and since i need to drop 20lbs and get fit again i need to dial in my diet (difficult). Its also hard telling whats downstream of my thyroid and what's just me being fat and out of shape and getting old in general.
The goal is to broadly feel good and get a decent level of fitness and body comp; curious with everyone else's experience managing lifestyle factors.