From my experience on ATD’s, finding that sweet spot where you feel your best is often a bit of a trial and error process at the beginning. I personally feel best when my TSH is in the bottom 1/4 of the normal range; my FT4 right in the middle, and my FT3 in the top 1/3 of the normal range. Those are “MY” optimum levels, yours of course can be quite different. The best thing to do is request copies of all of your lab results and take notes as to how much ATD you were on and for how long, also note how you felt physically at those levels. From there you can determine where you want to be and along with your Dr., may tweak your meds according to those lab results. I would imagine that any change in meds would be very gradual right now, especially given that you are seemingly where you want to be. I can’t comment on the best methodology for coming off of B & R therapy. Your Dr. would be your best guide on that one. One thing I will mention though is that coming off of ATD’s cold turkey isn’t a good idea, especially if thyroid antibodies are still lurking and not at bay. A Thyroid antibody test will help you and your Dr. determine the best way to wean off of ATD. If your Dr. suggests the “cold turkey” approach, question him/her as to why he/she feels that way. You deserve sound rationale for any medical decision that you are partaking in.
All the best to you!
James
