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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Primary hypothyroid, pituitary normal, lowered the Synthroid dose. Lowered TSH, T3, T4 levrld

twenty years ago when i was dx.ed with hypothyroid the numbers showed priamry. now my ths, t4 and t3 are all in the gutter and I constantly feel like i could join them for a nap. my endo guy has checked out my pituraty and it seems to be wnl. the doctors have lowered the dose of synthroid to 50mcg. and added 25mcg of cytome llast labs tsh 0.01, t4 o.o4, t3 2.3 anyclue
Tue, 27 Aug 2013
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General & Family Physician 's  Response
Hi and thanks for the query,
I do think you have an interesting blood serum thyroid profile, and need not to worry. A key aspect in the management of endocrine disease is compliance to treatment. You must however be aware of the fact that hormones might need some time to get regularized and therefore patience is needed with respect to obtaining the awaited clinical and blood profiles needed.
I do suggest you take the drugs as your doctors have prescribed. The prescription is not only based on the blood levels, but also on many other clinical considerations particular to your clinical state. It would be reasonable then only to modify treatment with the consent of the doctor. You will have to address any abnormal or unusual events you encounter to your endocrinologist.
Thanks and hope this helps. Kind regards.
Bain MD
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