Hey everyone,

I was diagnosed with hypothyroidism a couple of months ago and started on 50mcg of levothyroxine. It’s been 69 days, and my blood work has improved significantly: my TSH dropped from 9.34 to 1.77, and my T4 went from 0.72 to 1.18. (My doctor didn’t request new T3 tests this time, but my initial T3 was 0.73).

I actually discovered my hypothyroidism by reading that a TSH above 4.5 is a red flag, which led me to seek medical advice and confirm the diagnosis. I’ve experienced all the classic symptoms (fatigue, slow metabolism, hair loss, dry skin, brittle and ridged nails, sensitivity to cold, high cholesterol, etc.) but just assumed it was “normal” for me. Looking back, my TSH has been high for over six years based on old test records.

Here’s my concern: despite the great numbers, my symptoms haven’t improved at all. I was hoping to see at least some change in my fatigue or skin, but it’s all the same as before.

Has anyone else experienced this? Should I be looking into other options? I’ve seen suggestions here to add T3 medication for those who don’t get symptom relief with T4-only treatment. But with my TSH now in the normal range, would that even make sense or be the case?

Thanks in advance for any insights!