Introduction
Most thyroid patients do not need to make any changes in their medicines during the month of Ramadan and can comfortably fast without any health problems. Hypothyroid patients who are taking low thyroxine can take their tablet on an empty stomach instead of taking it half an hour before Sehri.

Hyperthyroid patients who are taking methimazole/carbazole can take it daily, once or twice a day. But those who are taking propylthiouracil will have to switch their medication.
Hyperthyroid patients with severe symptoms should start treatment immediately and, if necessary, can skip fasting for a few days after consulting a religious scholar.

Hypothyroidism
In the month of Ramadan, normal person T3, T4, and TSH levels are found to slightly change. Some studies have shown that fasting during Ramadan can significantly reduce TSH levels in both genders, while in male subjects, it may increase. However, TSH and T4 levels still remain within normal range

Best time to do thyroid meditation in Ramadan:

Prolonged fasting during Ramadan may alter the metabolism of the drug in the body due to the effect of heavy food on gastric motility, alteration of circadian rhythm, and effect of deoxyribonucleic acid activity.
But most patients find it difficult to wake up early and thus either miss their meals or take it with food.
The easiest solution to this problem is to take levothyroxine at bedtime. This improved effect may be due to factors such as gastric motility, heavy meals, circadian rhythm, and deoxyribonucleic acid activity.
Hyperthyroidism and Ramadan:
Thyrotoxicosis patients with mild symptoms do not have much difficulty fasting, but patients with severe symptoms may face problems due to dehydration and diarrhea. Such patients can skip fasting for a few days until their symptoms improve.
The Quran clearly allows sick people to skip fasting during illness, but it is necessary to make up for the missed fasts later. In such cases, patients can seek advice from their local religious scholar.

Early diagnosis and treatment of thyrotoxicosis is considered an emergency. Thionamidases such as methimazole, carbazole, and propylthiouracil are effective for patients with hyperthyroidism.

These medicines actively reach the thyroid gland and block the binding of iodine to tyrosine residues and the coupling of iodotyrosinase
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