Okay, so had my TT for graves Nov 2010, so a little over a year ago. Been on 100mcg for the last year. My TSH has been undetectable for the last three years except for a few months toward the beginning when I was on too much meth and my t3 and t4 dropped under range and my tsh came up to just above 1. My ft3 and ft4 have been decent over the last year, with the ft3 just under midrange and the ft4 toward the upper end of the range. The last few months ft4 has been just over the range with ft3 still being just under mid-range. After having the tt we checked antibodies and after about 4 months they were down and we started trying to conceive.

So about 10 months now we've been trying. We were pregnant one time and I ended up miscarrying at 6 weeks. I have hypo symptoms, probably because my ft3 is lower than optimal, such as fatigue, cold, dry skin, and acne. I started monitoring my basal body temperature and it is always below 97.7 and I never get the spike to make me ovulate. I think its because my replacement isn't exact. I think I need some cytomel. Of course my regular dr (we just moved almost 6 months ago) didn't want to prescribe, and neither did my ob. The midwife I saw for the miscarriage had set me up with an endo because she didn't want to deal with it and that appt (which seemed so far out - 3 months ago) was MOnday.

In the meantime, I found a DO in town and made an appointment with her. She game me some cytomel, but then I went and got it filled and its $60, on top of the $20 for synthroid, I just can't do $80 a month in meds. The generic was still $45 for the cytomel, still not doable. Especially when I hear such good things about Naturethroid and it is less than $10 a month. So, I called her back and she called me in a dose of 1/2 grain of naturethroid. The only downside is, I think that dose is a little low, since I'm coming from 100mcg synthroid.

So, I went ahead and went to the endo appt this past monday and she was awful. Probably the worst endo I've ever seen. She told me ths tsh is the most sensitive test and the one to go by and that i am obviously overmedicated since I have no tsh. She totally contradicted my OB and said it was more important to have a tsh near 2 than to have ft3 and ft4 in the upper third of the range. She told me that symptoms are subjective but the labs are objective and that is more important. She told me she can "look at my eyes and tell I'm anxious and overmedicated hyper." It was by far the worst endo experience I have yet had. When I tried to ask her about naturethroid she tried to tell me that was just an over the counter supplement that didn't have any thyroid medication in it. She told me armour was the only prescription non-synthetic medication and that you never know how much t3 and t4 you're getting in it so they don't use it. I couldn't believe how terrible she was.

Well, I've decided that I'm jsut going to go ahead and take the 1/2 grain of Naturethroid from the DO and go get some labs in 4 weeks and hope she ups it for me. And, I just hope I get it stable before we do end up pregnant.

I don't regret having the TT, because even just on the 100mcg of synthroid I felt better than I did before the TT, but I am so sick of trying to find a good doctor that will actually listen to me and not treat me like I"m an idiot.

Here were my labs from that MOnday terrible endo appt.

TSH less than 0.015 (0.30-5.0)
FT4 1.24 (0.50-1.20)
FT3 2.7 (2.4-4.2)