A simple therapeutic trial of thyroid medication will tell you pretty quickly if there's room for optimization.
With that elevated of a TSH I personally think it's worth a shot if you've got a good/open-minded doc.
Hopefully just feeling Okay isn't good enough!
If your body truly needs it, you'll start to feel better.
That's how it worked for me.
My numbers weren't all that bad ("in range").
Was already on TRT, but this took everything to the next level for me.
My TSH was just under 3.0 from what I remember, but my FT4 and FT3 were very similar to yours.
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