Wow, that went well - not!
I've been taking a combo of T4 and T3 for some years now and feel mighty well but I had to change my doctor recently after the previous one retired. Following yet another blood test, that gave a tsh reading at 0.014 she reduced my dose by 25mcg (without talking it through with me first, you understand). Anyway to cut a long story short, I've just had the dreaded conversation with her where I pointed out that my tsh has always been suppressed, that's how it needs to be for me to be symptom free. That a suppressed tsh would only be a concern if I were hyper and that because I'm taking replacement hormones the the link between the pituitary and thyroid is broken. She even said that ideally she would like to bring my tsh back up to within the reference range and above 1 !!!!!! If that happened I dread to think how unwell I'd be.
Because I know a little bit about my condition and had the balls to challenge her over her decision, she got really shirty with me, talked over me and said 'I do know about tsh, I am a doctor you know'. Now I have to say in my defence I anticipated hostility and so made sure I was polite and non confrontational. I even suggested they test my free levels if that would make her happier - she said she'd asked but the lab had refused. I said well surely I shouldn't be penalised because the lab won't comply with your request? It was at that point she lost it completely lol
Anyway the upshot was that she has restored my dose back to where it should be. But I strongly suspect I've made an enemy out of her. Ooops