Ask your endocrinologist to test your prolactin levels.
Thank you both. I have another appointment in about a month (feels like a very long time to have to wait!). I'm going to request T3/Armour then.
Recently I have been reading about TSH I feel TSH number are nothing when it comes to a patients well being. In most cases a patient feels better way below the normal levels on the test but doctors stick to these like glue.
As AR said T3 T4 means nothing -- you need the Frees tested. Inbound levels of the Ts do not tell anything.
I am going to assume your "T4" conversion could be a problem simply b/c your TSH is way below and you still have symptoms. I now am "way below" in my TSH ( 0.04) and still have mild hypo symptoms. No where near the symptoms I had when I was 3.34.
I also have a high free T3 at 5.7 which should be a little higher since I am on Armour. My Free T4 is 1.1 and should be a bit lower - so the reason I still am having hypo symptoms is becaus my Free T3 is not getting into the cells quite yet enough to relieve me of my symptoms. I need a med increase and not getting it.
I believe in Armour and I crashed in Synthroid. I just got on it in Oct 07 and have been ill before for 6 years.
I do not know if it is the answer for you - I know I feel better to some degree.
Your TSH is low enough that you should not be hypo, although you could still be suffering hypo symptoms from months ago.
All those T3/T4/T1 tests are old, inacurate, or irrelevant.
You need a Free T4 test and a Free T3 test.
Total T3 does not measure T3, and even if it did, your total T3 is meaningless. You need your Free T3 measured. That is what your body uses. Much of the T3 is bound up and made unusable, so there is no point in measuring what you can't use.
Your T4 is a total T4, and again, is useless for the same reasons as above. Although it does actually measure T4.
A low T3 resin uptake indicates hypothyroidism. That agrees with your symptoms, but your TSH disagrees.
I stole the following;
"The thyroid gland produces primarily T4 and a smaller amount of T3 along with the precursor thyroid hormones T1 and T2. Although their concentrations are not routinely measured, T1 and T2 also have physiological functions. While T1 has not been well studied, T2 is needed to produce several enzymes needed for proper thyroid gland functioning."
The most informative thing I could read about T1 is that it is not well understood, and is seldom measured.
There is a pattern to your tests.
You need better ones.
If the T3 resin uptake test is to be trusted, you may be hypo, and your TSH might be low for some reason connected to the pituitary gland.
You really need to get a Free T4 and a Free T3 test run to see how much hormones you have available. Then you need to find out why the T3 uptake and the TSH contradict each other.
I'm not a doctor, there are probably errors in my post, so take this as just my humble opinion.