Re: switching from generic to brand
I'm afraid the vast majority of docs are not up on the latest thyroid ideas. Then when the makers of Synthroid came along and rewrote all the treatment guidelines to treat by lab numbers instead of patient symptoms and with only their medication... well, everything's gone downhill from there.
As far as endos go, the good ones are as rare as hen's teeth. Most of us have had very bad experiences with them. I would call or email ahead of your appt and ask these few simple questions:
Does s/he go by TSH only to diagnose and monitor treatment?
Does s/he draw Free T3 and Free T4 labs and agree that these levels need to be near or top of range?
Does s/he raise thyroid hormones until the patient feels relief of symptoms, instead of going by labs alone?
Does s/he prescibe natural thyroid hormones or just T4 meds?
If you can find an endo that will answer correctly even 3 of these four you will be fortunate indeed. I've found a family med doc who does them all to my likeing so I'm extremely lucky. You may need to spend a bit of time looking though. You can try to post here and other forums for a recommendation.
Last edited by javelina; 07-26-2009 at 10:43 AM.