my doc hasn't mentioned any options other than synthroid. she has me on 175mcg and says we need to up it but lets check in one month and see it things have improved. i was told not to take it with my coffee. by the pharmacist, but the nurse said that should not effect it. you get different answers from everyone you ask the same question. this is frustrating also. everyone relates hypo to weight being high, i've always been thin and my daughter says i am "freakishly thin" now ( which of course makes me feel i must look especially horrid ) my hair has always been baby fine and on the thin side, so to lose what I have is distressing. I work with the public and feel like i should't be out in public! the cold and tired does seem to be improving a tiny bit, we've been having a wonderful fall so far, sunny and warm so maybe that is it. Can barely stand being in air conditioning thou! Any thoughts? Julie