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I've had Hashimotos since I was a young child and I'm 49 years old now. I've been dealing with a dose that is too low for a while now by compensating with an extra 1/3 of a (generic synthroid) pill when needed. When I explain to my wife who is a pharmacist, that I feel better within a couple of hours of taking the extra dose she does not believe that is possible. I know its possible because I've had a lot of chances to test it in 40+ years, although I do have to say when I was younger there didn't seem to be as much of an immediate impact from taking the pill. I've found an interesting article on the kinetics of T3 supplementation showing that peak concentration occurs after only 2.5 hours and a significant change in heart beat rate occurs after only 5 hours. What I'm having trouble finding is the scientific evidence for what I experience with T4 supplementation. Does anyone have any information or thoughts to add on the speed at which T4 can impact hypo symptoms?