So glad you wrote this. The reason why my FORMER endo did not test me right away was he felt my initial dose of synthroid was just fine. Surgery was in April, levels were checked in the following Dec. When I saw him in the office after demanding an appt that took months, I was bloated out, bald, no body hair, 10 pound wt gain in 3 weeks, seriously bad eyes, fat pads in my face. He asked me 6 times in 15 mins if I had any "life changes" because I obviously had a depression problem, not an endo problem. Then he asked my husband if I was depressed and told me my weight gain was from holiday feasting. The following week he called with the TSH level of 20 and an apology, increased my med dose, and promptly got fired.

@Nervous, advocate for your health, become the leader of your health care team. Don't forget the doc works for you, you pay him.