instruction: hi doctor I have hypothyearoidism and hashimoto my doctor currently only tests my ash and treats me with levothyearoxine I feel extreme fatigue after a year of this treatment even with my ash in the normal range my doctor says free to and reverse to are not important labs to run I am wondering if I should see an endocrinologist or just continue the treatment I am on my ash started at 8 last year got down to 08 I feel great when it was that low mow my ash is 8 and I feel extreme fatigue I am taking 12 mug levothyearoxine daily thank you
output: hi good day and thanks for your query some people treated for hypothyearoidism may still experience symptoms even if blood tests show that their thyearoid stimulating hormone ash levels are well within the normal range the reasons for this are complex but the bottom line is that having a normal ash value does not necessarily mean that all of your symptoms will go away evidence suggests that situations like this are not as uncommon as one may think even when placed on levothyearoxine the drug considered the gold standard of hypothyearoid treatment many people fail to reap the physical benefits of treatment so first you can lower down your ash target if you are still having symptoms for that we can increase your medication if still symptomatic the next choice is to change the brand of thyearoxine and if still not feeling well then think to go to supplement rather than to that is thyearoxine thanks