I am 40 years old, male, height 5 10 weight 212 pounds; I have been treated for hypothyroidism since 2010; on Sept 16th, lab results came back indicating an extremely low level of TSH, very low Vitamin D and low (200) Testosterone. I have extreme fatigue and attention, concentration problems; I feel cognitively impaired and have started to notice troubles with my vision. My doc prescribed 50,000 IU Vitamin D, 0.088 MG of levothyroxin, and Testosterone IM injections. I knew something wasn t right weeks prior; since the findings and modification in treatment; I asked my doctor (an Internist) for a referral to an Endocrinologist for an evaluation. Thus far, I am getting the run-around from his office staff on the doctor needing to approve the referral. I called an endocrinologist s office, recited the same as above and was told they would definitely see me but needed the medical information from my Internist. I have a job with a lot of responsibility and must get to the bottom of the problem rather than treating symptoms, IMHO. Is there a credible reason my Internist would NOT want me to be evaluated by an Endocrinologist? I am beginning to wonder if my doctor s staff is incompetent, if not, it is hurting the level of Trust I have in my Internist. He showed the lab results to me and emphasized the seriousness of treatment. I m caught between a rock and a hard place. My question, I suppose, is why would my Internist NOT move more quickly on providing a referral or at least giving me the records so I can give them to the Endocrinologist? If this thyroid condition, vitamin, hormone condition is not a big deal, it sure feels like it. I have thyroid cancer history in my family and my father died of adreno-carcinoma. Any enlightenment would be very much appreciated.