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What are you guys doing when TSH is normal but T4 is low, in this particular case both free and total.

or what about when TSH is high but T4 is normal

or what about when TSH is TSH is low and the T4 is low.....................but everyting else is normal lab wise on the full pituitary work up........but the pt feels terrible, looks hypothyroid, but then you ercheck and now TSH and T4 are both normal.

I am feeling very tired of endocrine this week..................also had a low am cortisol result in a different pt.

Finally are you all treating for TSH of 2.5 and above?

Thank you all!

Dannielle Harwood, MD

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