Doc,
I have been diagnosed with Hashimoto's based on a biopsy and blood work. I have been slightly tired, sluggish, sensitive to cold and experience low level depression. My lab results are below.
Free T4 1.2 Lab Range (0.6-1.6)
TSH 3.62 (.34-5.6)
Antithyroglobulin 29 (<40)
TPO 2020 (,35)
LDL 106 (<100) *currently taking lipitor 10mg 1x per day
Chol/HDL ratio 3.9 (<3.5)
Based on my limited symptoms would you recommend a trial course of thyroid replacement? Would this help prevent progression to overt Hypothyroid? My endo has recommended waiting and stated that prophylactic treatment is unsubstantiated by current literature. Might I benefit from getting the TSH below three, as suggested by AACE?
Thanks so much for your response!