My doc said "well it's not THAT far out of normal so you may not want to medicate". My response was "give me the damn pills".
...interesting considereing there is some debate the 5.00 TSH could be considered too high and medication should be given at 3.00.
i had an appt with a doc yesterday who has lots of experience working with athletes. he kind of confirmed what i already suspected...when you increase your mileage, you have to increase your dosage accordingly. i asked him if he had references to this so i could show my doc and he said that he didn't think any references existed but based on the physio of exercise, it only makes sense. he confirmed my thoughts that since t3 decreases with increased exercise, that t3 is the key number rather than tsh and that hypothyroidism tends to not allow the t3 to fully "replenish" as in normal people. so keep pushing for the t3 test.
what this visit made me realize is that you gotta plan your training a bit more methodically than alot of people and make sure you are really recovered from your hard workouts or you will dig a hole. same as for normal thyroid people but it's more dramatic with hypothryiodism..you pay a higher price for your training mistakes compared with others.
so, i'd stick with the increase if i were you. i'm feeling a bit buzzy too (like i've had a bit too much coffee) from my t3 increase but i'm feeling so much better than i did last week at this time. i've read that cardiovascular recovery from exercise comes quickly but muscle recovery takes longer. i think my cardio is starting to come back. i think i have a ways to go to get rid of the constant soreness but i feel like my hamstrings are starting to get a bit more pliable again this week.
too bad this wasn't treated like diabetes where you stick yourself and adjust dosing accordingly. that way, you wouldn't have to completely fall apart before getting to up your dose AND have to convince the doc that just because the value is still in what is considered to be "normal" that you need more.