The Doctor had no understanding or caring to how I felt at all. TSH was all he was concerned with. I had mentioned adrenal issues and discussed it with the nurse prior to my first appointment. She confirmed he was very good and able to handle it. He merely looked at my TSH and told me without any in-depth conversation, "I don't prescribe Cytomel, rarely Armour and believe in Synthroid." I cannot take Synthroid and have adrenal issues and he cared less. He explained nothing. Refused to discuss anything and just stared at me. He told me I should see a specialist if I had such issues "isn't that what he is?" And endo is supposed to be able to handle the entire endocrine system, adrenal, pituitary, FT3, FT4, From Tiredthyroid.com ( all 28 medical references are listed at the bottom of their site): "The TSH in people with a dysfunctional hypothalamus or pituitary gland will never accurately reflect their actual thyroid levels. [3] This is common in people who have had head injuries from sports, car accidents, etc. Has anyone not bumped their head at some point, ever?" "Also, thyroid ablation (destruction) does not remove the Graves� antibodies from the blood, it merely eliminates the organ (thyroid) that was under attack. If the antibodies remain high, TSH levels will continue to be suppressed, no matter how low the actual thyroid levels are, and other organs like the eyes and skin can be attacked." The Doctor is uninformed and unwilling to listen. Don't waste your time or money.