I see many instances of Sjogrens Positive folks that are also marginally Hypothyroid. Myself, TSH ranges around 5 just above the blood indicator range indicating my body thinks I need more T3 and T4. (if I understand the how the Thyroid works.) However, my T3 and T4 are within the acceptable limits. I now take 25mg - one tablet of Levothyroxine daily, but think this is really doing nothing and possibly the dosage should be raised until my TSH level is within the normal range. I'm wondering if by doing this it might help my digestion/constipation and dry skin issues. However, the Dr is non committal to raising the dosage, I think because my T3 and T4 levels are within range. I'm curious for you other Sjogrens patients what you might be going through regarding your thyroid? It seems to me, that many of the Sjogrens issues/symptoms are strongly related to the same types of issues of Hypothyroid.