instruction: hello doctor I am a 21 year old female I have hypothyearoid for the past one and a half years and currently on 25 my thyearonorm things have been normal but my period has been delayed this time it is exactly 46 days since my last one I feel tired most part of the day and currently due to lockdowns I could not exercise much can you please suggest some nutrition and about what can I do to get my period and if my doubt is correct thyearoid levels must have been increased but I cannot take a test right now last time when I checked before one year the amount of ash was near normal 1
output: hi do you have any other associated symptoms like painful menstruation do you have headaches for how long this problem is going on do you feel you bleed more or is it usual there are many causes of irregular menses any mental stress can cause even your having exams or any other stress related activity can affect the regularity there are hormonal disturbances that can lead to menses irregularities levothyearoxine dose 25 mug is very low if you cannot do your blood tests I think you can increase it to 50 mug and try to check ash thyearoid stimulating hormone in six weeks hopefully until then labs will be open regarding nutrition you need to eat a low carbohydrate diet without any sugary juices or added sugars in any way take a good sleep of seven to eight hours drink plenty of water at least two to three liters if you practice intermittent fasting it will give your health a great boost