I have had Hashimotos for many years, with reasonable clinical functioning of my thyroid, med free. I started having problems approximately 4 yrs ago when I entered menopause, the fluctuations were affecting my Hashimotos. I saw the MD and was completely stunned by the way he minimally examined me. He ordered thyroid ultrasound and never called me with results, never, luckily I had asked the ultrasound tech as I am an RN and she gave them to me. This MD touched my skin and said "you're skin is very hot, you obviously have autoimmune issues and inflammation." Did not offer any options and said my labs looked ok, besides my thyroid peroxidase being in the 10,000s....waste of time and money, MD seemed very non-interested in helping create a plan to get me feeling better, endos in Orange County are very hard to find that actually are proactive in helping the patient, it takes a team approach.