My Endo said all of my tests (1-yr WBS, Tg/TgAB blood work, follow up ultrasound) look good, except my ultrasound, because of the scar tissue. It didn't grow, but it is not something that would normally show up on an ultrasound for a ThyCan, so instead of being 'normal', it is 'stable'. He wants to continue to monitor it, so I will be getting another ultrasound in six months.
As for my afternoon low energy levels, he said it would be Ok to split my T3 dose. But T3 only comes in two doses: 5mcg or 25mcg. Changing my dose to 5mcg twice each day would be the way to go, however, this would lower my overall T4 levels, but he thinks my current levels are high enough, so the 2.5mcg change each day probably would not make that much of a difference. The good thing is that I won't have to split my pills anymore! He said to take the second pill 6-8 hours after the first dose. So, I'll see how things go starting tomorrow. Hopefully this will help me to stay awake during my drive home from LA tomorrow afternoon.
He said the main goal now is to get me feeling as good as possible, then to bring my TSH up to just below normal. I should have asked what he meant by normal. This is where I get a little lost. At one point last year, he said he wanted my TSH below 1.0, then a few months ago he said he didn't want it higher than .01 during the first year, and would consider bringing it up to .5 after that. So then, what does he consider to be 'normal'?
Anyway, I don't have to go back for blood work for 4 months (at least a week before my next appt), but I need to let him know if I start to feel worse on the new prescription. He says we are progressing because I feel a lot better about things, overall.
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