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Dear Reader,

The mainstream has a bad habit…

Find a slightly abnormal lab result… write a prescription… and keep patients on the drug for life.

Rarely stopping to ask a simple question: Does this person actually need the medication?

Now, experts are sounding the alarm about one of the most commonly prescribed drugs in America – levothyroxine, a medication used to treat hypothyroidism.

And according to new research, millions of people may be taking it for NO reason.

Researchers estimate that roughly 18 million Americans currently have an active prescription for levothyroxine.

That’s remarkable when you consider how uncommon true, overt hypothyroidism actually is.

In fact, studies cited by the researchers found that up to one-third of patients prescribed levothyroxine had normal thyroid function tests before starting the medication.

Think about that.

Many patients may have been placed on a lifelong medication despite having a normally functioning thyroid.

How does this happen?

According to the researchers, several factors are driving the problem:

  • Increased thyroid screening
    • Detection of borderline lab abnormalities
    • Vague symptoms like fatigue or weight gain
    • And a tendency to prescribe first and ask questions later

The problem is that symptoms like tiredness, brain fog, weight gain, and low energy can stem from dozens of causes.

Poor sleep. Stress. Nutrient deficiencies. Insulin resistance. Chronic inflammation.

But instead of investigating the root cause, many patients are handed a thyroid prescription.

And once levothyroxine is started? It often continues for life.

That’s despite growing evidence that many people with so-called “subclinical hypothyroidism” receive little or no benefit from treatment.

Now endocrinologists are encouraging clinicians to consider something rarely discussed in modern medicine: deprescribing.

In other words, carefully reducing or discontinuing medications that may no longer be necessary.

Of course, this doesn’t apply to everyone.

And nobody should stop levothyroxine on their own. The process requires medical supervision.

This story highlights a much bigger problem.

The mainstream is incredibly good at starting medications.

It’s far less interested in stopping them.

Because every prescription should come with two questions:

  • When should this drug be started?
  • And when should it be stopped?

For millions of Americans taking levothyroxine, that second question may finally get an answer.

And for everyone else, getting daily sun exposure and maintaining a healthy circadian rhythm are two simple ways to keep your thyroid healthy.

View Sources

Maraka, S., & Papaleontiou, M. (2026). Approach to the patient considering thyroid hormone deprescribing. The Journal of Clinical Endocrinology & Metabolism. https://doi.org/10.1210/clinem/dgaf697


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