Doctor: I am very concerned with your low TSH level. Have you increased you medication?
Me: Yes by 25mcg (to 75 mcg) and I now feel well. All my symptoms have improved and don't want that taken away.
Doctor: I see what you are saying, but we are taught that the TSH level must be in range and yours is well below.
Me: But my FT4 is good and my FT3 is still at bottom of range.
Doctor: Your symptoms could get worse. You can continue on your current dose but you MUST have a blood test every 3 months so we can keep an eye on you. You could end up over medicated.
Me: I don't feel over medicated but yes, yes of course I will have regular blood tests! (under my breath "no way!")
Thank you all for your help and advice which gave me the confidence to stand up for myself and ensure that I don't suffer continuing symptoms unnecessarily through my doctor's ignorance.
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wisewoman108
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I agree with another poster that 0.18 isn't suppressed. I'm not sure what the specific figure is, but I'm thinking more like 0.05,an order of magnitude lower than what you're talking about.
Hi 0.18 isn't considered suppressed. I think it needs to go to 0.03 but not too sure. My tsh is 0.01 the last time it was tested, but I am on t3. My doctor was fine with it. Hope that helps.
Hi eannj, I too am expecting the same conversation with the GP tomorrow (not my usual one) My TSH has been at 0.02 since January 2015 apart from one test when it was 0.07, my FT4 is usually between 17 and 20 and FT3 between 5.2 and 5.4
I will be refusing to lower my dose as I feel well, it has taken me a good while to get here and I don't want to go backwards just so my TSH is within their range. Well done for standing your ground.
Great news! The doctor was a little worried about my TSH of 0.02 and suggested that I reduce my thyroxine by 25mgs. I pointed out that it has been around this level for the last 12 months. I also told her that I feel well on this dose and referred to my FT4 and FT3 being in a good place. She agreed that I should stay as I am but have bloods checked every 6 months instead of the usual 12. 🙂
I could have said a lot more. I had written it all down in advance so I didn't forget anything. However she didn't really give me a chance - she obviously couldn't wait to get off the phone and was not really listening to me. Frustrating but she is not my normal doctor, who is a young man probably the same age as my son who I bullied into giving me a prescription for the higher dose. Unfortunately he is on long term sick leave at the moment
So funny Eannj this is the identical situation I am in. A young doctor standing in for my regular Endo gave me a prescription for NDT a year ago. I think my regular Endo was mad at him and now, a year later, I have to renew my NDT script and she is threatening to lower my dose. SOooooo I am on the road again looking for another doc.
I improved my iron absorption enormously when I went gluten-free. It really is worth trying. My iron is no longer low, and this is the first time in my life this has happened.
My sister battled with malabsorption of iron for years, and was on a ridiculously high dose of Levo, about 250/300mg sometimes. Turned out she's coeliac. iron is fine now and her Levo dose is about 150mg
If you go for a blood test don't take your thyroxine for 48 hours and have the test first thing in the morning, fasting. That way the TSH will probably be a bit higher and your doctor will be spared the stress of knowing her patient is feeling well. After all, keeping the doctor happy is what it's all about!
There is a postscript to my story. Yesterday quite coincidentally I met a physio who is a personal friend of the doctor. She told me that the doctor 'has a thing' about thyroid patients, but also that she is retiring in a month as she is so fed up with the stress of her job!! Hopefully my next doctor will be more sympathetic - but I'm not holding my breath!
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Update doctor appointment
Just had an argument with my doctor.
Junior Doctor- what a headache 
TSH -DOES IT MATTER A LITTLE?😕confused.
Problem with doctor
