Thank you so much, I am not very well versed in navigating this site so it helps a ton <3

My provider is mostly suggesting I simply move back onto the tirosint because she believes it worked best. It absolutely was not and I was in the ER quite frequently on that medication. My bloodwork from when I was on that medication for a month suggested it was very low TSH, however I was a without it for over a week at that time and since I couldnt get in contact with my provider to get the refills I went back onto the levothyroxine tablet and just took half of a pill extra, which would easily explain the low TSH at the time and I was feeling a lot better though very clearly beginning to have hyperthyroidism symptoms. I'm really stuck here because not only is this provider incredibly hard to get in contact with (she let the injections prescription lapse twice and even failed on 3 separate occasions to include sodium chloride with the injections so they were unusable) but she also is fresh out of college and does not seem to be very knowledgable on complex cases. I dont think shes a bad provider but just not a very good one for a complex case like me. I've never even heard of t4 vs t3 medications until researching today, if it's possible to take the injections (which I believe are t3) and a t4 like the tablet, I think this can work out. Not really possible to switch providers at the moment as there is a massive lul in available doctors and everything in a 50+ mile radius has been bought up by two competing hospital/college conglomerates 🙁 nobody wants to work under them anymore and they quit and move away within months of graduating/being acquired