I saw my GP yesterday for the annual flu shot, and also had my blood pressure checked. My BP is highish (190/98) and she says she suspect it's because I'm overmedicated. She wants me back on T4 and to be retested in eight weeks. If we cannot get my BP down naturally, she'll want me on drugs.
She also said that she disagrees with my original diagnosis, Hashimoto's. I was diagnosed in 2001 based on the following lab results:
TSH 18.41 (ref 0.4-4.2)
FT4 5.4 pmol/l (9-23)
anti-TPO 6154 UI/mL (<6)
anti-thyroglobuline 441 uI/mL (<4)
No FT3 tested.
In 2012, I was put on NDT after a 24 h urine analysis showed low T3 levels on 200 mcg of Euthyrox daily. I have been on NDT since, the past few years on Thyroid-S.
I currently take 4 grains of Thyroid-S daily. I normally take it as one single dose in the morning, but split the dose (2 grains x 2) for a couple of days before having labs in order to avoid a false low FT3 reading.
Results from 1 October:
TSH <0.01 (0.35-4.5)
FT4 0.8 ng/dL (0.7-1.5)
FT3 2.8 pg/mL (1.7-3.2)
anti-TPO 14 UI/mL 8<6)
anti-thyroglobuline 1 UI/mL (<4)
The GP says no doctor would diagnose me with Hasimoto's based on those labs, and that in her opinion, I may not even need to be on thyroid hormone replacement. She now wants me back on Euthyrox and, if my TSH fails to normalise in eight weeks, she wants me off it to see if I really need it.
My question is: should I fire this doctor?
I should add that my GP is not responsible for my thyroid treatment but she keeps asking for thyroid labs (she orders only TSH but I give her a copy of the labs ordered by my other doctor who always orders a full thyroid panel).