My symptoms when I am both under-medicated and over-medicated are dry hair, eyes, skin, my hair starts falling out and my thyroid begins to grow.
Under-medicated I also get high blood pressure and my heart rate slows down. I need more sleep, and feel less motivated in general to do anything.
Over-medicated My blood pressure gets low, my heart rate goes way up, I can feel my heard pounding when I’m just sitting still when I’m really over-medicated, I’m more anxious, more angry, more hungry, and my sleep is disrupted.
When I get symptoms like my hair falling out I’ll start taking my blood pressure and usually within a few weeks try to get a blood test to know really where I am at if I feel like I’m out of whack. My problem is a lot of symptoms are the same with too much and too little medicine, but the blood pressure is a clearer indicator which way out of normal I’m headed.
Some people have very few symptoms.
One thing to keep in mind is sometimes you don’t realize how crappy you’re doing until you change your meds and feel better.
What happened to me more than once was being under-medicated, the doctor changed my dose to a higher dose daily, I felt incredibly good around week 3 and 4, and then everything goes to shit. It’s because I sailed right through normal into over-medicated eventually. This happened in the reverse direction too. Finally, a nurse practitioner helped me by telling me to change by dose by only one day a week until I could really get very close what I ideally need.
Tons of women I know have trouble stabilizing, but many many don’t have that trouble. Most doctors prefer to think you suck at taking your medicine. That’s been my experience. What they were failing to see, think about, was my pattern was perfect. Just the one pill sent m going higher in higher, or lower and lower consistently. If I was consistent in my medicine it just would have been all crazy all over. Skipping pills or eating with your meds or double dosing won’t give you a consultant pattern.