I have a friend, 71 yo and has never taken thyroid meds in her life. She's suddenly tired much of the time, is always cold, her voice is hoarse, and she has trouble concentrating. Her TSH is 5.28. I told her I'd be in bed all day if my TSH was 5.28. Anyway, she went to a new doctor and her doc told her that she wants to monitor how she feels. She doesn't want to start her on any thyroid meds because her thyroid may shut down. This pissed me off. She sent my friend off for more bloodwork (TSH, T4, Free T4, TPO) but will not do T3 because she thinks it's irrelevant. Should she switch doctors?