The other day, a friend of mine saw this hormone expert in Belgium. Unlike most other hormone experts there, this doctor prescribes synthetic combo drug Novothyral only.
My friend was told that since she still has a thyroid (she has Hashimoto's), she'd most likely only need one pill a day (100 mcg T4, 20 mcg T3), possibly one and a quarter or one a half but no more, whereas patients having had a total thyroidectomy often require at least two pills a day for complete symptom-relief (so, 200 mcg T4 and 40 mcg of T3).
Quite frankly, I fail to see the difference between someone who's had Hashimoto's for years and then been on TSH-suppressive doses of T4, and someone who's had her thyroid gland removed. It's not like people with advanced Hashi's produce that much more hormone than someone having had a TT, or am I completely wrong...? Would appreciate some input on this. Anyway, I told my friend not to obsess too much with numbers, but to aim for symptom-relief.