I have been treated with methimazole and atenolol since dx with Hashimotos and Graves last November. I tested positive for all three antibodies. My endo has gradually tapered the methimazole dose down to 2.5 mg daily along with 25 mg Atenolol. I am wondering when this might level off. Today my TSH is 1.3 (0.3-4.8) and Free t4 0.69 (0.5 - 1.5) ref. The t3 and Vit D are pending. I have to admit I have not been taking methimazole every day over last month, probably 4 times a week. But I did take it the last couple weeks every day. I have been so fatigued lately, but still have palpitations. I have noticed an increase in neck pressure and redness lately. I'm not sure what I need now. I feel I am a little hypothyroid, but yet have some hyper symptoms, like hot flashes at times and tachycardia. Have any of you experienced this and how long did it take to regulate it? Should I get a second opinion? The last time labs were checked and similar, no changes per doctor. She was pushing for thyroidectomy due to large goiter, but it had gotten a little smaller last ultrasound, However, I'm afraid it is growing again. The gagging throat pressure is so bothersome, but seems to come and go.