Hi KO-LD. Many doctors use the outdated TSH range that goes to 5.5. I believe the high end of the new range is 2.5. Normal results may not be optimal for you. Too many doctors rely solely on the TSH result. It is important to monitor the Free T3 and Free T4 levels. There are also T3 and T4, but from what I understand the Free Ts are more accurate.
If you have thyroid antibodies present, this indicates Hashimoto's Thyroiditis which is an auto-immune thyroid disorder. People who have this can have normal results but treatment is warranted. This happened to me. For years I knew I had a thyroid problem. Doctors repeatedly ran the TSH, T3, and T4. I was told the results were normal and nothing was wrong. Meanwhile, my thyroid symptoms kept getting worse. Finally, my Lyme doctor tested the antibodies. The normal range for one of these tests is 0-34, and mine was over 1000!
There are T4 only meds such as Synthroid and there are T3/T4 meds such as Armour. Armour is natural and used to be the only one prescribed until the synthetics were created. Then many doctors wanted to prescribe only those. I started off on Synthroid, but I wanted to switch to Armour. It took some time to find a doctor willing, but I did and it works much better for me. Some people do better on T4 meds, some do better on T3/T4 combo meds.
During treatment, some people's TSH becomes suppressed. This happened to me even when my Free T levels needed improvement. Many doctors will then decrease the meds solely on what the TSH result is. Many people who have hypothroidism feel the best when the Free T levels are in the upper 1/3 of the range. This is what I am trying to achieve. It took a long time, but I have finally found a doctor (not an endo) who is working with me and it is helping. In my experience, endos are the worst to see for this. For me it would be like seeing an infectious disease doctor for Lyme. This is just my experience. I am sure there are endos who don't rely soley on TSH results, but I have never see one.
I recommend learning as much as you can about this so you can get the best treatment if needed.