Intermittent or non-compliance with levothyroxine (L-T4) replacement therapy will result in discordant serum TSH and FT4 values (high TSH/high FT4) because of a persistently unstable thyroid state ...
[204] In cases where TSH appears inappropriately elevated, a thyroid hormone suppression test (1mg L-T4 or 200µg L-T3, po) would be expected to suppress serum TSH more than 90% by 48 hours in ...