Believe me i know MASSES on this topic! LOL.

My last GP was ok with adjusting me up to a point, but once my TSH got down to the 3's (3.7 was my lowest every reading so far) he stopped upping my dose, even when it crept back up into the 4's. I would have to self-refer to an endocrinologist, which would be free but could take anything up to a year to get an appointment. My sister has Hashi's, PCOS, Endometriosis, is morbidly obese (BMI is about 46 i think), type 2 diabetes and hypertension and even she is still waiting on her endo appointment to come through. My BMI at the nurses office was 25.5, but i think that's mainly because my posture and the fact that i'd just been on a longish run meant i was measured 3cm shorter than i actually am, and even with that very modestly high BMI the nurse basically dismissed me. What concerns me is that for a year i maintained my weight and then in the last year 6kg has crept on without me changing anything by way of diet or exercise. My last GP also dismissed my weight as a concern. They don't seem to get it - yes, ok, i maintain a healthy weight, but i am exercising 6x a week here guys! I bust my gut to stay this way and my weight is STILL creeping up! I feel like banging my head on the desk and asking if i have to be obese before they will consider treating me!

I'm hopeful for my new GP, i have reems of studies and articles to take and wave at them if they aren't willing to listen. Unfortunately the "normal" TSH range in the UK has apparently just been changed to 0.5-10! So goodness knows what will happen. As such i'd just like to get my TSH under 2.5.

I have considered adjusting my medication myself, but my family history is crazy with a lot of heart and circulatory problems there, and i'm at higher risk of fibrilations and strokes because of that, so i don't want to risk going hyper without proper supervision. As such i feel ok, a little heavy in my limbs, a little tired, a little puffy round my eyes, but not too bad. When i'm really hypo i get arthritic-type pains in my knuckles when i wake in the mornings and i don't have that at the moment.

I am thinking i need to get even stricter with my food because clearly even the hypothyroid cannot magic fat out of thin air!

Bx