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Low TSH, Low T4

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I've been treated for Hypothyroidism for the last year. I am also being treated

for Hypogonadism due to a pituitary adenoma. My endo has been treating me with

synthroid, 88 mcg. I had also requested earlier in the year to start cytomel,

but discontinued it three months ago. I just had blood work done and my TSH is

low (.34) and my T4 is 0.9. My dr is puzzled by this change. The cytomel

dropped my TSH but now that I am off it, it should have gone back up. My dr. is

now thinking I have secondary hypothyroidism, perhaps due to the pituitary

problem. I also have an 8mm nodule on my thyroid. They won't biopsy it until

it is 1cm. I go for a reimage of the thyroid in April. Does any of this make

sense? About 4-5 weeks ago I started feeling tired again. Any ideas?

Joe

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