We can certainly have different opinions, but I’m actually a family doctor and am qualified to diagnose and treat hypothyroidism. I do have some patients on it who came to me already on it from other doctors and I do leave them on it if they’re stable, but I certainly don’t start anyone on it.

The endocrinologists in my health system recommend against it and refuse to touch the stuff. The only one who does prescribe it is the self-proclaimed thyroid guru in the area who runs massive panels of unnecessary tests like alternative medicine practitioners do and then prescribes everyone NP or Armour thyroid as a first line. The fact that this is what they started you on without even trying levothyroxine first suggests you have one of those docs.

So I’d be wary. There are a lot of docs out there practicing outside the guidelines even though they hold legit degrees and board certifications. So any time I see a doctor doing something like that, it immediately makes me suspicious.

And hey, maybe yours is an exception. As I said, the metformin is legit. But NP thyroid as a first-line choice makes me suspect they’ve gone down the alt med rabbit hole.