Thank you for the responses. I am on regular Synthroid, not generic. I did go off the birth control pill over a year ago. How long does it take for that to show an effect on TSH levels? Also, how important is it to have the TSH level within range. I am currently seeing a nurse practitioner. As long as I am "feeling fine", she doesn't seem concerned about leaving the TSH level at .04.
Make sure the tablet is not generic -- ie it is Synthroid by Abbott.
Have you stopped any meds that increase thyroid requirements -- ie birth control (or anything with estrogen), zoloft, meds like prilosec, iron, calcium, hi-fiber diet -- to name a few?
The other alternative is that your gland is developing some function -- the most common cause of this is an autonomous nodule -- but this is somewhat unusual.
I usually keep decreasing the dose and re-checking every 8 weeks as your doc is doing then re-evaluate.
Get your adrenal hormones tested. High cortisol can cause T4 to be high, because high cortisol causes a conversion problem from T4 to T3, which in turn would probably explain the falling TSH. You may have developed an adrenal problem along the way. The heart palpitations can be a cortisol problem, too.