Question: I had a complete thyroidectomy in 2011. It was performed due to a goiter and pathology showed microscopic cancer. I had my Synthroid adjusted to suppress my TSH and stabilized at 137mcg. A few months ago the specialist I am seeing for chronic Lyme pulled labs and said that I was not converting T3 appropriately. Results| TSH 0.2 Reverse T3 < 5.0 and free T 2.0 (July 2016) I was told to stop Synthroid and put on Liothyronine 25mcg. November 2016 labs were TSH 0.9 and Free T 2.0... My dosage was increased to Liothyronine 30mcg. February labs are - TSH 9.45 and Free T 2.1. I have increased fatigue, mood swings, increased constipation, hair loss, dry skin and an inability to lose weight even though I am trying. (was losing weight until recently) I am due to see the specialist in about 3 weeks. I emailed him and told him I am having symptoms of hypothyroidism-- as above--- as well as concerns about needing TSH suppression. He wrote back and said I have incorrectly interpreted my lab results, that my symptoms are not likely related to elevated TSH and I need no med changes and he will see me at my appointment. I was a RN for 20 years prior to being disabled. I wanted another opinioin on whether I am misinterpreting my labs. I strongly feel I need to be on the Synthroid and have no problem taking the Liothyronine in addition. I was wanting another Physician to interpret. Thank you.

He added the liothyronine due to believing some of my fatigue was related..... Since TSH has gone up fatigue is worse, as well as, other symptoms I mentioned. Would elevated TSH not cause these symptoms? I do plan to go back on the synthroid. Thank you