if at all possible contact Dr. Shames- I just saw him yesterday and right now I feel like I would throw myself in front of a moving car for him!!! His approach is to start me on tiny dose of Cortef (hydrocortisone) ramping up very slowly for a couple of weeks- then depending on how I'm feeling I will start with .025 Levothyroxine- again ramping up until I'm feeling good. After looking at all of my records he asked me why someone would start me on Synthroid when I have allergies to trees- Synthroid uses Acacia.... I just can't believe some of these doctors!!!!