Hi @koh Thanks for all of the info! It all confirms what I have been coming to understand. It's been over six weeks now since surgery, so feel like it's approaching the time to get a check up. I'm on the wait list with endocrinology -- they are extremely backed up I guess. I think I will reach out to my surgeon to see if he can at least order some blood work. Aside from the little hot flashes I have gained a couple of pounds and have insomnia -- but that could also be stress. My lymph nodes around my whole neck are all still a bit inflamed -- not sure how long that takes to settle. It's really hard to distinguish between what is stress induced and what might be thyroid related. I don't feel right, but I know stress and anxiety can have a tremendous physiological impact.

My surgeon and his tumor board agreed on no further treatment but he said he was interested to see what my endo thinks about the micrometastasis to the lymph node -- so it's a little frustrating that there isn't a way to get in sooner. It would definitely be nice to have someone on the sidelines to guide me through this/monitor me.

I'm sorry that it's taking so much time to dial in the Synthroid. A couple of people I have spoken to have done really well with it right from the get go, but it's seeming like for a lot of people there's quite a bit of trial and error getting levels right. I hope you see some improvement with this adjustment. Any idea yet what they want to do about the enlarged lymph node?