Over the past year, the pharmacy substituted the
generic for brand, which I was unaware of. I also discontinued
estrogen replacement therapy during this time. when I had my TSH, T-3 and T-4 done, my levels were indicative of hyperthyroidism. My TSH was 0.04. I was extremely symptomatic with hot flashes, mood swings, insomnia etc, but dismissed it to stopping the estrogen. My ALT/AST liver enzymes are also minimally elevated. Has anyone else experienced this?