Sorry - I guess what I meant was an untreated TSH of 10 or higher, brought down to less than 10 by medication (Synthroid or similar). If an applicant falls under the category of untreated TSH <10, normal T4, no meds, is it reasonable to just report that without further documentation necessary? I'm trying to determine when someone should default to having the "current Clinical Progress Note" in hand at the AME.