Yes, you need Reverse T3 to accurately see where the dosing of T3 is going. RT3 is Anti-T3. It’s your body’s brake pedal on metabolism. You can get RT3 elevations with micronutrient deficiency or when stress is up. Your addition of T3 is what’s driving down TSH so low. Don’t let that go under 0.5 or you’ll be hyper. You want Free, T4 at 1.1 or higher and free, T3 at 3.4 or higher (assuming no hyper symptoms). TSH between .5-2.0 ( I place mine between 1-2 though). All of these compounds you're throwing in will change your metabolic profile. So it’s really hard to say exactly what to manipulate. I’d be careful about just throwing things in. Also marijuana causes elevations in prolactin in some individuals which can skew thyroid parameters. You got too many cards in the game to say with 100% certainty where it’s coming from. Next time you pull labs though you need TSH, FT4, FT3, and RT3. Hope this gives you some direction. I have Hashimotos and manage it myself because every doctor that I’ve been to doesn’t know wtf they are doing