Newly diagnosed with hypothyroidism
I apologize for newbie questions, but I'm hoping to find some information to better understand what I should expect following a hypothyroid diagnosis.
My primary care doctor diagnosed me with hypothyroidism in late september based on TSH and free t4 labwork. She currently has me on 25 micrograms of Synthroid daily. My initial TSH levels were 8.5 and then 6.7, and after being on the synthroid for 6 weeks, my TSH is 3.6
After I was diagnosed, my older sister went to have her thyroid checked as well (she went straight to an endocrinologist--she's in another part of the country) and was diagnosed with Hashimoto's Hypothroidism based on an antibody test (?).
I have noticed a definite improvement on memory, concentration, and mood, but I'm still cold, tired, and sometimes my throat feels funny--the best way I can describe it is I used to have a kitten who would try to sleep on my throat, and it's a similar sensation.
So that's the background for my question. My most recent labwork, about a week ago, had the TSH of 3.7, today I called my doctors office asking for a referral to see an endocrinologist because I have a lot of questions and don't really understand my treatment. My doctors nurse called back to say the doctor disagrees about having me see an endocrinologist, and based on the most recent lab work my thyroid is now fine.
I'm frustrated and confused. Is it unreasonable of me to want a referral? I am seeing so many conflicting pieces of information about what is "normal" tsh (I have seen the 3 cutoff that is supposed to be more recent), and it doesn't make sense that if my TSH is responding to synthroid that I'm now no longer hypothyroid. The doctor doesn't seem interested in asking how I am feeling, but just responding to the lab work. I'm not even sure if she will refill the synthroid at this point.
So, after all that. Here's my question. SHould I push for the referral to a specialist? If she refuses I'm not opposed to changing doctors, as I'm not thrilled with her for a couple other reasons. Does her argument that since my TSH is down to 3.6 that I don't have a problem make sense? I don't want to be a problem patient, but I'd really like my questions answered and for whatever reason it's not happening with her.
I appreciate any advice you can give me.