Kimberly
Online Facilitator
    Post count: 4288

    Hello – I don’t know what the normal ranges are for your lab, but I would certainly ask more questions as to why the doctor’s recommendation is to quadruple the dose of ATDs if T3/T4 are normal.

    I don’t know if you spoke directly to your doc or to one of the office staff, but we’ve had cases here of dosage recommendations not being conveyed properly over the phone.

    The latest guidance from the American Association of Clinical Endocrinologists and American Thyroid Association notes that TSH is not a good benchmark for dosing early in the treatment process. You can find the guidance in full in the “Treatment Options” thread in the “announcements” section of the forum.

    It might be helpful to share this with your doctor if you believe that this dosing recommendation was based solely on TSH.

    Take care!