A patient experienced miscarriages and weight gain on T4-only medication with TSH and T4 testing.

“she had two miscarriages in ten years and then she came to him and she was like hey man I'm getting all this weight but I'm training for a marathon he's like yeah kind of blamed her of having a closet eating disorder which a lot of doctors do by the way so many patients when they hear that go oh my god that happened to me because the end so that's really awful because you know you're doing all that you can and you're gaining weight regardless and even your working out it doesn't matter you get a grape every day and you would gain weight with hypothyroidism depending on how severe it is”