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Most studies regarding TSH are performed on healthy people, not people whose thyroids have been ablated. The conclusions reached in studies on healthy people are then presumed to be applicable to us as well, a presumption based more on belief than science, imho. The third article cited, from the Cleveland Clinic, shows just how problematic an overreliance on the TSH can be.
My personal experience is that for 10 years after DX of Graves’ Disease I suffered from inadequate thyroid replacement. No one should have to live like that.
Any time I took enough Synthroid to get my T3 into the normal range–and enough for me to feel normal–my TSH plummeted. Any time my TSH was normal I felt lousy. One little pill fixes everyone, right? Not in my case.
Finally, I found a doctor who would prescribe Armour thyroid, in addition to Synthroid, to give my T3 a boost. Getting my T3 just barely into the normal range has allowed me to function. And, curiously, with the addition of the Armour, my TSH is just fine, too.
Make sure that your TSH is measured first thing in the AM. TSH has a diurnal variation. It’s highest in the AM. Don’t take your meds until after your blood is drawn. This may help to make your levels look more acceptable to your doctor. And, if you feel good, and your levels look good, everyone is happy
