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You need an endocrinologist, firem3. I see a good one at St. Vincent's East in Bham; good as in pro-active. I'm in low "normal" range on thyroid, but have lumpy/bumpy thyroid, fullness/choking in throat, weight gain, achy limbs, foggy tiredness, etc. A lot of docs wouldn't have put me on anything, if they were a by-the-book (or by-the-normal-range) kind of doc. But mine is proactive and sees the connected dots.
On the other end of the spectrum, for instance, my sister has the same issue and her doc in Arizona won't prescribe for her. She needs to go look for another. (My mother has it, too. It's genetic for the women in my family.)
My advice: write down all this great advice on this thread, regarding synthroid and Armour meds, & new "normal" thyroid ranges, & ask questions of your doctor. He'll check your levels, do a baseline ultrasound or scan probably, and at least you will see where you are on it. If you have an issue & your doctor's not proactive, find one who is.
But, if you're leaning towards seeing an ENT, my male ENT at Brookwood had his thyroid removed (oddly enough, his thyroid was keeping them from getting pregnant; they were able to have children after removal). So he's definitely "up" on it. Dr. Billy Cornay/Brookwood Hospital. He might suggest an endocrinologist to you that he went to.
i see an ent on tuesday, i imagine its to late to try to change appointments now. who is your dr at st. v east?