Hi all! Quick background to my question: I was diagnosed with hypo at the end of June and just last week went in for my first follow up appointment. I was told at my follow up appointment that they would be testing my TSH, Free T3, Free T4, and my TPOab. I told the Doctor that despite having a few days of improved symptoms shortly after starting medication that I had soon returned to feeling subpar. She said it was likely that I needed an increase in my dosage. Lab results came back, and I got a phone call saying that everything was within normal ranges and my dose would stay the same. I just got back the reports from both appointments and these are the lab results:
June- 4.26 (0.27-4.2)
Sept- 3.14 (0.27-4.2)
June- 13.4 (0.0-5.5)
They NEVER ran the Free T3 and T4 tests they said they would, which has me rather upset. I fully intend on going back to request additional testing and a referral to an endocrinologist as soon as my usual provider is back in the office. I wasn't able to see her for my last appointment as she is on convalescent leave. She herself is a thyroid patient so I'm inclined to think she'd be more likely to understand the ins and outs of my condition.
My question today is, does an elevated TSH and a high TPOab always mean a Hashimotos diagnosis, or do I need to ask for more tests to get a definite diagnosis? Also, what is considered the optimal TSH level?
I appreciate any information you can share with me, and welcome any advice you have as well. Thanks!