How to prepare for a video visit about Hypothyroidism (Follow-up)

Audience: adult

If you have hypothyroidism and are preparing for a follow-up video visit, this guide will help you get ready. Hypothyroidism means your thyroid gland does not make enough hormones, which can affect your energy, mood, and body functions. During the video visit, your healthcare provider will review your symptoms, medications, and recent test results to check how well your treatment is working. Preparing ahead can make the visit smoother and more effective. You may be asked about any new symptoms, medication side effects, or changes in your health. Having a list of questions and your medication details ready can help you get the most from your appointment. Remember, video visits are a convenient way to follow up but may not replace in-person exams if you have new or serious symptoms.

Red flags — go in person / ER

• Sudden chest pain or difficulty breathing — seek emergency care immediately.
• Severe swelling of the face, throat, or tongue — call emergency services right away.
• Sudden confusion, weakness, or fainting — get urgent medical attention.

What telemedicine can do

• Reviewing symptoms and medication adherence
• Discussing recent lab test results
• Adjusting medication doses based on symptoms and labs
• Providing education about hypothyroidism management
• Answering questions about side effects and lifestyle

What telemedicine cannot do

• Performing physical exams that require hands-on assessment
• Diagnosing new or complex medical conditions
• Managing emergencies or severe symptoms
• Ordering immediate laboratory tests during the visit
• Administering treatments or injections

What to Expect During Your Video Visit

Your healthcare provider will ask about your current symptoms, how you are feeling, and any side effects from your thyroid medication. They may review your recent blood tests if you have had any. The provider will discuss your treatment plan and may adjust your medication dose based on your symptoms and test results.

Gather Important Information Before the Visit

Prepare a list of your current medications, including doses and how often you take them. Note any new symptoms such as fatigue, weight changes, mood shifts, or cold intolerance. Have your recent lab results handy if you have them. Write down any questions or concerns you want to discuss.

Set Up Your Technology

Make sure your device (phone, tablet, or computer) is charged and connected to a reliable internet connection. Test your camera and microphone before the visit. Find a quiet, well-lit space where you can talk privately and without interruptions.

When to Seek In-Person Care

If you experience severe symptoms such as chest pain, difficulty breathing, swelling of the face or throat, or sudden weakness, seek emergency care immediately. Also, if you notice rapid heartbeat, severe mood changes, or confusion, contact your healthcare provider promptly.

Managing Your Hypothyroidism Between Visits

Take your medication exactly as prescribed. Maintain a healthy diet and regular exercise as advised. Keep track of any new symptoms or side effects and report them during your next visit. Schedule regular blood tests as recommended to monitor your thyroid hormone levels.

How to prepare for your tele-visit

• List all current medications with doses and schedules.
• Write down any new or worsening symptoms.
• Gather recent thyroid function test results if available.
• Prepare questions or concerns to discuss with your provider.
• Ensure your device is charged and internet connection is stable.
• Find a quiet, private space with good lighting for the video call.
• Test your camera and microphone before the appointment.

After your tele-visit

• Follow any medication changes or instructions given during the visit.
• Schedule any recommended lab tests or in-person follow-ups.
• Monitor your symptoms and note any changes.
• Contact your healthcare provider if new or worsening symptoms occur.
• Keep a record of your thyroid hormone levels and treatment progress.

FAQs

What should I do if I forget to take my thyroid medication?

If you miss a dose, take it as soon as you remember unless it is almost time for your next dose. Do not double the dose to catch up. If you are unsure, contact your healthcare provider for advice.

How often should I have blood tests to check my thyroid levels?

Typically, blood tests are done every 6 to 12 months during stable treatment. Your provider may recommend more frequent testing if your medication dose changes or if symptoms change.

Can I take other medications or supplements with my thyroid medicine?

Some medications and supplements can affect how your thyroid medicine works. Always tell your provider about all medicines and supplements you take. Take thyroid medicine on an empty stomach, usually 30 to 60 minutes before eating, to improve absorption.

What symptoms might mean my hypothyroidism is not well controlled?

Symptoms such as ongoing fatigue, weight gain, cold intolerance, constipation, dry skin, or depression may suggest your thyroid hormone levels are not optimal. Discuss these with your provider during your visit.

Is it safe to have a video visit for hypothyroidism follow-up?

Yes, video visits are often a convenient and effective way to manage hypothyroidism follow-up when you are stable. However, if you have new or severe symptoms, an in-person visit may be necessary.

Sources

1. Hypothyroidism — MedlinePlus, U.S. National Library of Medicine / National Institutes of Health.
2. Hypothyroidism (Underactive Thyroid) — Mayo Clinic.
3. Thyroid Disease: Diagnosis and Treatment — National Library of Medicine.
4. Hypothyroidism — Centers for Disease Control and Prevention (CDC).

This telemedicine guidance is for educational purposes only and is not a substitute for in-person medical care. If you have urgent or severe symptoms, please seek immediate medical attention.