This has been a struggle for the past 5 months. My TSH indicated hypothyroidism (5.84) in April. I was prescribed .15 mcg synthroid until June, when the TSH came back at .12. The synthroid was dropped to .10 mcg and the last TSH read .84

Today, I spoke with a guy who takes synthroid and Armour, which includes T3. Thyroid function is a very complicated process, and my RO doesn't even deal with it; he leaves it to his NP, who doesn't seem to know much beyond TSH results.

Is it possible to have within normal TSH readings yet not have enough T4 or T3? And should another medication like Armour (or the synthetic) be considered? And what tests in addition to the TSH are necessary to determine what the course of treatment should be?

dx 2/13/06. modified radical neck dissection 3/9/06 multiple biopsies of upper airway and direct laryngoscopy. 1 of 47 lymph nodes positive for metastatic undifferentiated carcinoma (lymphoepithelioma). Unknown primary. Finished radiation 5/24/06.