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TSH level 161.5 (lab ref 0.4 - 4.5) total T4 0.8 (lab ref 4.5 -12)?

I was off synthroid 150 mcg daily for several months as needed to get labs before refill.  Had been on that dose for 20+ years.  Resumed 150mcg daily.  Retest 6 weeks.  Is there anything else I should do or should I ask for additional tests, or just wait for retest?  
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What was the purpose of getting you off the Synthroid for several months?    What tests were done at that time?  Why were you re-started on a lower dose?  

What tests will be done in 6 weeks?    
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They will retest tsh and t4.  I am on same dose 150mcg.  Had to get lab work before they would refill the synthroid.  One issue to another caused me to delay going to primary and it was about 3months I was off medication, until my restless leg started bothering me daily, figured it was related to the thyroid and finally went the other day.  They called with results today.
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