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    It is hard to keep levels where you want them on methimazole. It requires frequent monitoring and dose changes. It is more difficult when all you have to go on are the FT levels as the TSH is nondetectable. For me, a thyroidectomy made me feel normal very quickly. Your levels will have to go down quite a bit before they will consider surgery. In other words, they need to get you on the hypo side or risk thyroid storm during surgery. This is all much harder with the pandemic, but the thyroidectomy solves the hyper problem.