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Thanks for replying S. I've been slowly being increased over the years. My initial dosage rested at 100mcg go about 6 years. Then I was increased to 125mcg and stayed there for about 5-6 years. My levels have been being tested every 3 months for nearly 5 years. about 18 months ago, my doc upped it to 137mcg and it did not help at all. So I started seeing an endocrinologist last September and he took it up to 175mcg. That seemed to start feeling right around November and I ran out about 6-8 weeks ago and feel exhausted already. I meet with him in the morning. I do understand the importance of taking it and at the same time and watching what other meds I'm taking at what time, I just ran into some circumstances that got me messed up and I am getting that fixed. I don't remember ever having the two Hashi tests you mentioned so maybe I should ask my endo about that tomorrow.

Hi,
Take the 175 for six weeks at minimum, then retest TSH and see where you are !
Unless TSH does not reflect your thyroid status correctly, there is no need for FT3/4, however, it does not harm to have them, but it seems that your TSH does correlate good with your thyroid status.
Good luck,
S