Is that a decimal point before the "4" in your TSH, or is my screen dirty???
If your TSH is 0.4, then it is just barely in the bottom of the range. Currently accepted TSH range according to AACE is 0.3-3.0. If your TSH is 4.0, then you are above range and slightly hypo (according to TSH).
However, what's more important is whether or not your endo is testing FT3 and FT4 along with TSH. He should be testing these (the actual thyroid hormones) and adjusting meds based on them rather than TSH alone.
I can understand why you don't want to decrease meds when you are feeling well. I would certainly want to know FT3 and FT4 levels before doing this.
I'm hypo, not hyper, so I can't comment from personal experience, just know that dosing based on TSH is a prescription for misery. I hope some of our hypers (or former hypers) will chime in.
it is point 4 .4 she said that the ft2 ft4 and everything else is in the normal range ly discussed the tsh with me via phone said it was the only concern
If your doctor said TSH was the only concern, there are no two ways about it - you need a new doctor. Adjusting meds on TSH alone is going to have you bouncing back and forth between doses and between feeling sick and feeling well.
Ask for your actual FT3 and FT4 results along with their reference ranges. Are you sure she's even ordering FT3 and FT4? If she's not, you need to see another doctor to check your current levels as soon as possible.
Your TSH is very, very close to the lower end of the range, which probably means you're still very close to being hyper. It really makes no sense to me that she would want to lower your meds now, especially since you are feeling so well.