Quick recap and a question: I had a total thyroidectomy for toxic multinodular goiter in November 2015. After almost a year on synthroid ( never able to get on the right dose) I switched to Armour thyroid and have been adjusting the dose based on lab results. At my last visit, the endocrinologist told me that when you take the natural replacement med, your free T4 and T3 are supposed to be suppressed, which makes absolutely no sense to me, I think the TSH should be suppressed because I'm getting the hormones I need. I feel like I need a higher dose, I'm taking 45 mg twice a day, and I seem to crash and get symptoms in the evenings. So I'm on the hunt for another endocrinologist for a second opinion. Here are my labs, what are your opinions?
TSH 0.49 range 0.45-4.5
Free T4 0.7 range 0.8-1.8
Free T3 2.9 range 2.3-4.2
TSH 0.49 range 0.45-4.5
Free T4 0.7 range 0.8-1.8
Free T3 2.9 range 2.3-4.2