I have just come back from the endo I've waited 6 months to see and can not believe that the consultant listened to me and how I've tried t3 only and NDT and he's given me a script for 60mcg t3. He ideally wants my tsh not totally supressed and explained why and the risks and what to look out for in my heart beating- variable gaps between beats is the indicator, not skip then big beat which I sometimes get when hypo - but I think even if my bloods aren't perfect he may well let me have the script anyway as I told him my concerns re: my mental health and bones from being bed and housebound.
I even learned that the Cardiff endo I originally wanted to see has been giving all the Welsh endo's guidance re: if ppl come and ask for NDT even though there is no research to support then let them try it and t4 t3 combos. However the health board are unhappy and want more evidence so may put the kaabosh on those scripts which is mean.
But baisically if you are suffering on t4 only in Wales you may be able to get some help if you can put a good case together.
I am in Carmarthenshire by the way.