anyway. been logging every afternoon crash in a notes app for about 3 and a half weeks now bc my endo kept saying my labs were fine so it had to be something else. 18 school days of data. fwiw and the pattern that showed up isn’t what i expected. i figured it’d be dose-related, like my levo just isn’t quite dialed in yet. but the crash days line up almost exactly with the days i don’t get an actual lunch, which happens more than it should when you’re wrangling 24 seven year olds and duty schedules eat your break. 14 out of 18 bad-crash days had zero real food between 730am and 3pm besides coffee. the 4 days it didn’t happen, i’d actually sat down and eaten something with protein in it by noon.
so now i’m wondering if this is less “my TSH isn’t optimized” and more garden variety blood sugar crashing on top of an already sluggish system, which would explain why my labs look fine on paper but i still feel like i’m dragging a sandbag by 2pm. my A1C was 5.3 last check so nobody flagged insulin resistance, but i know normal A1C doesn’t rule out reactive dips during the day. told my endo this at my last appt and she actually perked up, said skipping meals with hashimoto can hit harder than in people without thyroid stuff bc the metabolic buffer is already thinner. didn’t really explain the mechanism, just said to stop skipping lunch and see what happens for 2 more weeks before we touch my dose again. kind of annoyed it might be this unglamorous. anyone else find their “thyroid symptom” was actually just not eating enough during the day? and did fixing that actually hold up over time or did the crash creep back in?