Well, if you do have PRTH, your TSH would remain high. The pituitary converts T4 to T3 for itself, separate from the way T4 is converted to T3 by the rest of the body. In fact, the pituitary has it's own enzyme that does this. When you have PRTH, the enzyme in the pituitary is missing or decreased, so your pituitary is starved for T3, and it "thinks" the rest of your body is, too, but it's not.
With your FT3 already on the high side and perfect FT4, thyroid meds could very easily make you become hyper very quickly. You do have some antibodies, so keep an eye on it, but for the moment I think you really want to avoid thyroid meds. I've been ignoring my TSH for a long time.
No, I'm not very thin. I've had to watch my weight all my life. However, since being on thyroid meds, I find it much easier to maintain my weight.
Your FT4 is just about perfect. It's right in the middle of the range. Your FT3 could be a little high for some people, but if you're not experiencing any hyper symptoms, I wouldn't worry about it. My FT4 is in normal range, but my FT3 is actually below range. However, I feel good, so I guess that's "normal" for me. I also have Hashi's, so my thyroid is dead, can't produce any hormone anymore. I'm totally dependent on medication now.
So, you have quite a different B-12 range than we see here. Ours typically starts at around 200 and goes to 900 or more. Some people find they have to be in the very top of the range or even above it.
I just noticed I missed one of your posts yesterday. You found PRTH interesting?
I'm not sure what you mean by "hyper metabolism".
Okay, so I'm not sure what the reference range is in your country for B-12. However, 150 is typically a very low number. But, if you don't have debilitating fatigue, then you are probably not deficient. What's the range?
Endo was an idiot...lots of them are, unfortunately. You have to get lucky when you choose one.
I don't take any supplements, except for magnesium, which I take for a heart arrhythmia. Do you know your B-12 level? B-12 deficiency typically causes debilitating fatigue among other symptoms.
Yes, that doctor sounds like one to stay away from. Your FT3 is high enough that 100 mcg could easily make you hyper. He obviously hardly glanced at your FT3 and FT4.
Your T4 (is that free T4 or total T4?) is perfectly in the middle of the range. Your FT3 is at 79% of range, which is actually a little bit on the high side. So, your TSH doesn't seem to be "behaving" properly. With your FT4 and FT3 both so good, we'd expect your TSH to be lower unless there's a pituitary issue going on.
Your antibody load is very light considering those of us with Hashi's often have antibody levels in the high hundreds, or even thousands. You might develop Hashi's later, but people can have antibodies for years or even decades before the thyroid is damaged enough to cause symptoms.
If you have no symptoms and feel well, there's no reason to take levothyroxine. TSH is a pituitary hormone. It causes no symptoms. It's nothing but a messenger from your pituitary to your thyroid to tell it to produce more hormone. There is no danger to TSH being high as long as FT3 and FT4 are good.
I have a pituitary issue called Pituitary Resistance to Thyroid Hormone (PRTH). My TSH hovers somewhere around 20.0 usually. It's been there for years. My endo and I just ignore it.