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Don, get the 4x saliva test so we can review the circadian profile. As for your thyroid, you are taking a synthetic T4 only medication. For many people that just doesn't make a dent. There's nothing mentioned about your dosages and protocol. Regardless, labs will tell the tale .. Would like to see Free T4, Free T3, Reverse T3, TPO & TgAb antibodies, and of course the 4x saliva cortisol as previously mentioned.