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    Hi Sarah – I just jumped onto the forum to look for this exact issue. I had RAI in 2009, and still have to tweak my Synthroid. It’s really challenging and I’m looking for answers too about how to stabilize things. Twice I had low TSH/high free T4 about a month after I was sick (first with Covid, later with flu – I’m vaxxed for both but still ran fevers), but I notice often I feel Graves symptoms when I have travel anxiety or excessive anxiety at work. It’s really exhausting though. I also find it triggering to feel Graves symptoms – reminds me of when I first was diagnosed and how hard it was to feel under control. Now I worry about the toll on my body as I’m post-50. Anyhow – I would be curious about what your endo said, and good luck.