I have AATD which created hypothyroid 5 yrs back, obviously sick lungs and thyroid are a real binder. So last week as usual they inform me I am over dosed, this has been ongoing over 5 yr period. They normally lower me down to 70mcg from 100 mcg on levo..however as soon as the lower down I get the crash symptoms back ..gain weight , lethargic to coma status, so I have now suggested a private Endo helps me out, I have compromised lungs and this on top is huge! I have basically put up with enough garbage off the NHS and I am doing a private route referral with hope they can then sort me out and get me back to where I was pre this condition. I can but hope I hope to ask for the T3 on a private basis as nobody here up to now has either suggested this to me or even taken this more seriously. I have the middle sections in both of my lungs left I was diagnosed at end stage emphysema aged 46 ..I worked very hard to come to where I am today, if anyone has AATD please be very aware thyroid is on the spectrum and if your struggling like me to be heard go private ..I hope to feel a lot better after this referral will keep everyone posted, its bad enough I am denied a vital replacement therapy for AATD (my genetic condition) but to be denied T3 on top for me is one step to far! ..my suggestion is if your dissatisfied go private in the UK. I hope to update.