Once that thyroid’s gone, boy, the pituitary just keeps shouting until it gets some response, so that’s why the numbers climb. It doesn’t necessarily mean you’re "more hypo" than the next guy, it just means the pituitary’s been trying to get the message across for a long time. You can’t have less than no thyroid, if you get my meaning.
The TSH responds to your T4 levels as an "average" of levels over several weeks’ time, so those tend to change rather slowly, and right now, your T4 levels are going to be the best to go by, but even those need a few weeks to build up.
It’s not wise to test too often, and it’s not wise to raise your dose too quickly either ~ your body reacts to a radical shift in thyroid hormone in ugly ways, so you need to wait and wait and wait while things slowly improve, and only go up one dose level at a time until you find the right spot.
Sorry, but that’s kind of the nature of the beast. At the hypo side, there’s really not much that’s critical in terms of needing an ER visit, unless you’re hypo and NOT taking any replacement hormone. You’ll be tired, no question. You’ll be lethargic, and have trouble keeping a thought in your head, absolutely. But these things will improve daily, EVEN on the same dose of replacement hormone.
The best possible method for getting your levels back where they need to be is to test every six weeks, then adjust the replacement hormone dose as necessary. After you start a new dose, you will always have a couple of weeks where you may feel a little high, little low, then things stabilize at some level. You’ll always be circling normal, closer all the time.
At first, you will go by the T4 only, if you want to know how you’re doing. After a few stable T4 readings, the TSH can be relied upon again, but keep in mind the way it functions.
” title=”Smile” /> My mom says if I can’t afford it by the time August rolls around she will make the donation for me and I can pay her back when ever I can. She is realizing how much this board means to me as well as the people on it. 
