Have gone to so many Drs, a few best endos in my area, and trying to figure out how to medicate myself properly to reduce this decade-long fatigue (other issues possibly, including adrenal fatigue from stress and a long time in t4 only meds). Finally seeing a good dr tomorrow to go over recent test results. All Drs have told me to lower my WP Thyroud that I take sublingually and incrementally throughout the day (approx 2.5 grains total). This Dr M, I'll call her who is also testing me for suspected Lyme disease, advised me to test using the trough method. No meds morning of and you test your thyroid hormones in the am right when you are supposed to take your meds.
My issue is that many Drs are always saying to lower my meds because my TSH is too low. Like .001, but that was not using the trough method. With the trough method, my tsh was better at .01 and with a 1/4 grain less meds from the prior test take. Finally my questions...is a TSH at .01 really not good? This supposedly good endo told me that with Hashimotos and with a non-functional thyroid at this point in time, that my TSH range goal should be .045-.25. I feel like I need more thyroid meds or hopefully Dr M will prescribe hydrocortisone for me tomorrow. I drink very watered down coffee all day that seems to help, and recently I started to take ibuprofen throughout the day. I'm up to three ibuprofen now and that is what helps when I really start to slide. I think that it is helping me retain fluid and increase my blood pressure.
Last question is re the trough method. My free t3 and free t4 could have been raised slightly per those results, however, if it's close to optimal w/o meds in the morning when the test was taken, does that mean that I'm actually over medicated once I do take my first grain in the am and my free t3 and free t4 then increase? Or are the results exactly reporting my status? If it shows a free t4 at 1.17 and a free t3 at 3.9 (TSH at .01) can I increase my WO Thyroid? Any advice is appreciated!! 😊🌸😊