I need someone’s expertise here. To make a long story short, symptoms of hypothyroidism appeared suddenly 8 months after i had my gallbladder removed. I have SWCAH. Live in Canada, not much research/high quality treatments here.

My TSH is now between 5.4-10.1 
my T4 is always normal at 13.9-14.3!!!
my T3 was never tested.
Androstenedione is below normal now 1.05 nmol/L!!!
Testosterone very low 0.8 nmol/L
17-OHP is mid normal on 1st day of period 8.9 nmol/L
Renin is normal 47 ng/L
ACTH is low normal 1.1 pmol/L
***Negative thyroid antibodies - no hashimoto
***No nodules or goiter on thyroid

i’ve been put on Armour Thyroid 7.5mg (extremely low dose) for a month. Got really bad nervousness and dizzy spells. After 1 month, labs came back TSH went up on thyroid meds!

I’m on 0.625mg dex/day and 0.1 mg florinef.  I was on 0.75mg dex/day, and suffered life threatening low potassium levels, low DHEA-S, low testosterone, Low ACTH, you name it.  I was reduced to .625mg 3 years ago all was fine so no one tried to reduced any more.

Something is going on again.  My thyroid was fine before my gallbladder was removed.  No one can tell me what the root cause of this sudden hypothyroidism is.

Do you think that because i had gallstones my dose of 0.625mg/day wasn’t all absorbed?  Now that my gallbladder has been removed my liver is processing 100% of the 0.625mg, now making that dose too high?  Therefore, I should reduce my dose until my TSH levels go back to normal because T4 is blocked from converting to T3 by the high dose of corticosteroids?

I’ve tried to reduce, I’m now on 0.5mg/day but i can’t go more than 7 days without having to take some extra. I feel sore, tired, understeroided!?!?!

Is 0.625mg/day too high a dose? I’ve been told i shouldn’t ever be on anything less than 0.5mg/day, is this true? many people are on 0.375mg/day????

please help