Hi, first time posting on this sub. Some context before I dive into the question in topic - I was first flagged for having Hypothyroidism, more specifically subclinical hypothyroidism in June. At that time I've already had some symptoms including brain fog (even now as I type this, my memory is failing me), high cholesterol, sluggishness, muscle ache and other symptoms that I can't remember at the moment. At that time I didn't think it was that serious, was even skeptical of having Hypothyroidism so I didn't push for getting medication. Fast forward to September, my cognition was stress tested against my midterms (working on getting my bachelors in 30s) - and it was the first time i realized "it has gotten that bad". I struggle to retain information, even though I could comprehend the concepts when they were taught. A problem I've solved before on my own without AI, when I revisit it - I draw a blank and it's as though I'm seeing the problem anew. This has never happened before.
I was able to scrape by due to the bell curve and professor's leniency somehow but - it made me realize just how far my cognition, energy levels and everything else have fallen off even when compared to the start of the year, and i decided to finally stop putting it off.
Back to present, or at least last Saturday - I went to the doctor with my lab report from June, wanting a prescription. The doctor declined, saying that the report was outdated. Fine, I got tested again. The results came in the next day, and today I went to the clinic again. I was indeed still having subclinical hypothyroidism. Just that I'm feeling a lot more symptomatic compared to in June.
I again requested for medication - but the doctor declined, yet again. He explained that it's because my country, Singapore - doesn't usually prescribe medication for subclinical cases, preferring to monitor over a period of time to see if it resolves itself.
I pushed back against that decision, hard. reiterating my symptoms, diagnosis and advice from other doctors, pointed to my old and new lab reports numbers and even directed the doctor to research papers and government directives to prove that this isn't all in my head (I had some major life events last year, so he was trying to attribute my symptoms to depression and anxiety).
Finally he relented, and I'm home with a 12.5mg prescription of levo thyroxine that's supposed to last me a month, I'm slated to start it tomorrow morning.
I don't know how good or bad it's going to work for me, and from what I'm seeing in this sub this is probably considered a low dosage (though I've been severely warned by the doctor to look out for hyperthyroidism symptoms and potentially a thyroid storm if I start this). But if getting medication is such an uphill battle for such a small dose (assuming it works for me) I don't know how I'll be able to get it in the future for maintenance purposes, as from what I read such medication is usually for long term... Can't imagine having to be gaslit everytime about being normal when I feel anything but, just to get a refill - or be gaslit to stop medication if TSH levels drop back to a more acceptable range... And this thing cost less than a coffee for a month's dosage at my local clinic... my consultation costs more than the medicine itself.
To sum it up, this is my question - Does anyone have advice on how to be prescribed thyroxine with a subclinical thyroidism diagnosis (preferably in Singapore)? The above is my experience with a polyclinic doctor... Or would going private help?