Given that the TSH continues to drop, I would expect a referral to endocrinology would be next steps, even with the in range T4 & T3.
Did you ever get a full thyroid panel (with antibodies)?
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No, since I never come close to meeting my $1500 deductible I’m always reluctant to pay out of pocket for “optional” health expenses, and my GP seemed to think it wasn’t necessary.
I’ll see if his opinion has changed given the new results.
I’m going to be honest a gp is not experienced or knowledgeable enough to know whether or not you should see an endocrinologist. I don’t mean to scare you but hyperthyroidism can be life threatening if left untreated long enough. I myself ended up in the hospital within a year of my levels going from normal to hyper. What I thought was panic attacks was hypertension that was causing serious strain on my heart. It was eating away at my muscles and my body was in survival hunger mode because I was constantly starving. My liver enzymes even started to show concerning levels and my gp told me I needed to eat better and exercise more during all this. Despite a family history of thyroid disease.
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There are labs that you can order your own labs. They are typically cheaper than through a health system or hospital. The lab I use is ownyourlab.com . I have also used Quest labs but they are a bit more expensive.
You can get a comprehensive thyroid panel including antibodies for $173 through ownyourlabs.com
I have been doing some work on my metabolic health and have used them twice so far. I do have an HSA I have been using to pay for them but really, sometimes it is best to advocate for yourself and just bypass your physician and get the data.
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I am hypo, not hyperthyroid but you should really see an endo. I felt absolutely horrible until my thyroid was under control, and had no idea why. I thought getting older just sucked a lot.
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