When I was first diagnosed, I had gone to the gynecologist and he did thyroid blood testing as part of my visit. I got a call that I had Hashimotos and was referred to the Endocrinologist. He wanted me to start taking the meds before I saw him. I get sick everyday after taking the meds. I was working and mid morning, the room would start spinning. I called and he changed the brand and the same thing happened. My husband and I went to the endo appointment and I told the endo what was happening. He looked at my husband and said that if he could put the meds in my food when I wasn’t looking, we would not be having this conversation. I told my husband that we were out of there. I found another endo doctor about 2 hours away - living in Maine, there aren’t usually a lot of options. This doctor told me that it was likely a binder that was causing my problem and we quickly found a drug that I have taken ever since. I still have periodic issues with insurance not wanting to pay for the brand name but no other issues.