
Levothyroxine
From $1.39/day

Keep your thyroid levels steady.
Levothyroxine from a US pharmacy, dosed from your TSH and free T4.

From $1.39/day

From $1.30/day
You’re far from the only one. A US-licensed clinician looks at what you’re noticing and whether treatment fits you.

5 in 100
Americans aged 12 and over have hypothyroidism
Source: NIDDK, hypothyroidism6-8 weeks
after any dose change, your TSH is rechecked
Source: Synthroid label (DailyMed)Standard of care
The American Thyroid Association says levothyroxine should remain the standard treatment for hypothyroidism
Source: Jonklaas J, et al. Thyroid 2014;24(12):1670-1751 (ATA guideline)Figures come from NIDDK, a professional guideline, the brand-name Synthroid label and a meta-analysis of randomized trials. Individual results vary, and your clinician sets your dose.
Bring your symptoms and your lab results into the same conversation.

For the people and plans that matter to you.

For work, hobbies, and being present.

For a daily routine you can keep coming back to.
Three things that matter alongside treatment.
Hashimoto's thyroiditis, an autoimmune attack on the gland, is the most common cause of hypothyroidism. TPO and thyroglobulin antibodies show whether it is driving your levels, so your plan fits the cause.
Iodine and iron are needed to build thyroid hormone, and selenium and zinc help convert T4 into active T3. Food comes first; ask your clinician before adding supplements.
Chronic stress, poor sleep and ongoing inflammation are all linked with changes in thyroid hormone. A steady sleep schedule, regular movement and a stress outlet help your medication do its job.
Start with answers. A clinician reviews your symptoms and thyroid blood tests, then helps you understand whether treatment is right for you.

Step 1
A few minutes

Step 2
Within 24 hours

Step 3
2–5 business days

Step 4
Ongoing

Tiredness, feeling cold, constipation, and changes in mood can have many causes. Thyroid blood tests help your clinician understand whether an underactive thyroid is part of the picture.
Levothyroxine replaces T4 and is the usual treatment for an underactive thyroid. Liothyronine is T3; it is considered in selected situations rather than routinely replacing T4. Your clinician decides what fits your diagnosis.
Finding the right dose can take time. Blood tests are often repeated about 6–8 weeks after starting or changing levothyroxine, alongside a conversation about your symptoms.
Levothyroxine here is a refill for people already prescribed it. Liothyronine (T3) needs thyroid blood tests from the last 90 days, which you can upload or order after your $20 clinician review. A licensed clinician decides whether either is right for you. View the treatment options above for current availability.
A $20 clinician review, refunded if you’re not prescribed. Each plan shows its lowest rate with the real bill, and you can cancel anytime.
A US-licensed clinician reviews within 24 hours, and approved orders ship free in 2 to 5 business days.
Your treatment is reviewed and prescribed by US-licensed clinicians in our network.

Weight and metabolic health
Board certified in emergency medicine and practicing telehealth since 2018. Focuses on weight management and metabolic health.

Cardiometabolic health
Board certified in cardiovascular disease and interventional cardiology. Focuses on preventive cardiology, blood pressure and cholesterol.

One tablet a day, dosed from your labs.
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