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1051752 tn?1253833456

so so so very confused

9/25/09

TSH .009     normal .350-5.50

12/10/09
TSH .4         normal .350-5.5

ok so the dr called yesterday most of my symptoms have gone away i have more energy and feel better than i have in months but the endo says to decrease my methimazole 9/25 was on 20mg per day 12/10 was on 30mg per day.

i called them back, my concern is that my tsh is right in the middle of normal now and i feel better but we are going to bump the meds back down to 20mg per day.... any suggestions, or experiance with this i need to hear something to support my endo i am afraid to drop the meds down!!!
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Avatar universal
If your doctor said TSH was the only concern, there are no two ways about it - you need a new doctor.  Adjusting meds on TSH alone is going to have you bouncing back and forth between doses and between feeling sick and feeling well.

Ask for your actual FT3 and FT4 results along with their reference ranges.  Are you sure she's even ordering FT3 and FT4?  If she's not, you need to see another doctor to check your current levels as soon as possible.

Your TSH is very, very close to the lower end of the range, which probably means you're still very close to being hyper.  It really makes no sense to me that she would want to lower your meds now, especially since you are feeling so well.
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1051752 tn?1253833456
it is point 4 .4 she said that the ft2 ft4 and everything else is in the normal range ly discussed the tsh with me via phone said it was the only concern
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Avatar universal
Is that a decimal point before the "4" in your TSH, or is my screen dirty???

If your TSH is 0.4, then it is just barely in the bottom of the range.  Currently accepted TSH range according to AACE is 0.3-3.0.  If your TSH is 4.0, then you are above range and slightly hypo (according to TSH).

However, what's more important is whether or not your endo is testing FT3 and FT4 along with TSH.  He should be testing these (the actual thyroid hormones) and adjusting meds based on them rather than TSH alone.

I can understand why you don't want to decrease meds when you are feeling well.  I would certainly want to know FT3 and FT4 levels before doing this.

I'm hypo, not hyper, so I can't comment from personal experience, just know that dosing based on TSH is a prescription for misery.  I hope some of our hypers (or former hypers) will chime in.
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