Just had a follow up with my Endo (off the recommended list) and he has told me that despite my symptoms there is nothing to treat. Also said that if my blood tests had been done privately at his place of work the upper range for TSH would have been 4.5 and treatment would have been considered but as I had them done on the NHS the upper range at that hospital was 5.5 and I was well under that!
When I asked about Hashimoto's and T3/T4 he said there was no evidence to suggest treatment would help and organisations such as Thyroid UK were giving advice based on very limited medical evidence. Strange thing is I have been taking 50mg a day of my father's Levothyroxine for the last week and most of my symptoms, with the exception of head pressure and brain fog, have greatly improved.
His advice is to stop taking Levothyroxine, get tested for TSH in 4 weeks and see him again in 5 weeks time. I am currently signed off work and he has suggested extending this until my next appointment. What do I do now? Is there a particular specialist I should see?
Last blood test results:
TSH 4.4 0.50 - 5.00
TPO Antibody 228 0.00 - 6.00
Serum testosterone 12.7 8.30 - 30.20
Serum SHBG 30 14.00 - 71.00
Serum prolactin 106 73.00 - 407.00
Serum LH 1.3 0.60 - 12.10
Serum FSH 1.7 1.0 - 12.00
Serum cortisol (9am) 285 101 - 536
Total vitamin D 98.2 >49.90 .