- Most endocrinologists only check TSH and prescribe levothyroxine regardless of your symptoms, which means you may not be getting the comprehensive thyroid care you need.
- Other types of doctors, including functional medicine doctors and integrative physicians, are often more willing to run full thyroid panels and prescribe T3-containing medications.
- Over 50% of thyroid patients in meta-analyses prefer taking T4 plus T3 thyroid medication, but most endocrinologists won't even consider this option.
- Endocrinologists are trained primarily in diabetes management, so thyroid care is often not their main focus or area of expertise.
- If you feel stuck in your thyroid treatment, seeking out a doctor who is open to newer thyroid therapies and comprehensive testing can make a big difference in how you feel.
I’m not saying endocrinologists are all bad. There are some that are great.
But I am going to suggest that you will probably get better care by seeing another type of doctor if you have a thyroid problem.
I know this may sound controversial, but my experience suggests that most thyroid patients who see one will not get the special care that they think they will.
And that other doctors are often more informed about newer thyroid therapies.
Here’s why:
Reason #1. They Won’t Order The Right Tests
At most, your endocrinologist is likely to order what is called a TSH with reflex to free T4.
This particular lab test looks at your TSH and will only evaluate your free T4 if the TSH is abnormal.
But here’s the problem:
This assumes that the TSH is the best way to measure thyroid function and that other thyroid lab tests are not needed.
While it is true that TSH is the most sensitive marker of pituitary thyroid action, other thyroid lab tests can provide loads of useful information.
Some of these include free T3, total T3, reverse T3, and thyroid antibodies.
But if you were to ask your endocrinologist to order these tests they would probably scoff at you and tell you that they aren’t necessary.
The reason? They don’t really care about the results.
Having abnormal thyroid antibodies doesn’t change the fact that they want to give you levothyroxine.
Having a low T3 doesn’t matter to them either because, guess what, they still want to give you levothyroxine.
And what about having a low total T3? It won’t change their recommendation of levothyroxine with a side of more levothyroxine.
This is very unfortunate because meta-analyses show that over 50% of thyroid patients prefer taking T4 + T3 thyroid medication!
But guess what? You can’t differentiate which patients should take T3 on top of their levothyroxine without looking at free T3 and total T3 levels.
Unfortunately, you can’t expect your endocrinologist to check these lab tests.
Reason #2. They All Treat The Same Way
I shouldn’t say all because there are a handful of endocrinologists that don’t do this but the vast majority fall into this category.
Without having ever met your endo, I can say with a high degree of certainty that he or she will only check your TSH and recommend levothyroxine based on that value.
It doesn’t matter what lab tests you requested, what the results of those lab tests show, or how bad you are feeling, this is going to be their recommendation.
From their perspective, if your TSH is fine then you are fine. Period. End of story.
And this sort of mentality exists among virtually all endocrinologists.
Why?
Because this is how they are taught.
In fact, this is how all doctors are taught including family practice doctors and general practitioners.
I know because this is exactly how I was taught.
And this method of treating hypothyroidism is referred to as the standard of care.
Having a standard of care is great for patients because it means that no matter where you go in the United States, you can expect to get the same treatment.
But it only works if the treatment works.
And when it comes to thyroid management, there’s a lot of research and data to support the idea that doctors are failing thyroid patients.
If you don’t believe me, take a look at this survey of over 12,000 thyroid patients which shows, on average, they give their doctors a failing grade of 5 out of 10 and that they rate the need for new thyroid treatments as a 10 out of 10.
Does that sound like a group of people that is happy about how they are being managed?
I can tell you from personal experience that thyroid patients who take combination thyroid medications like Armour Thyroid and liothyronine have much, much higher satisfaction levels.
Reason #3. Endocrinologists Don’t Have Special Knowledge
It makes logical sense that a doctor who specializes in a specific disease would know more than a general practitioner about that condition.
And it is true in many situations, especially uncommon or rare diseases.
But hypothyroidism is not rare or uncommon.
It’s estimated that almost 12% of the population in the United States has hypothyroidism which translates to 39 million people.
But beyond this, the bigger problem has to do with how endocrinologists look at the disease:
To them, it’s a solved issue.
As far as they are concerned, if you are taking levothyroxine and your TSH is normal then whatever symptoms you are experiencing must be due to something else.
This is why you hear so many stories from thyroid patients who go in complaining about weight gain, hair loss, and fatigue, only to be told that they are getting older, that they are depressed, or that they should eat less.
Which is probably why surveys show that hypothyroid patients complain about the same symptoms for 10+ years without seeing any improvement:
And why many thyroid patients end up getting placed on anti-depressants instead of receiving changes to their thyroid medication.
The reality is that many of these problems could be solved with the right knowledge, you just aren’t likely to get it from an endocrinologist.
Reason #4. They Are More Set In Their Ways
You might think that seeing a specialist is a good thing because, perhaps, they are more willing to listen to new ideas and treatments, right?
Unfortunately, this assumption is incorrect.
By virtue of the fact that endocrinologists treat thyroid patients day in and day out, tend to be less likely to listen to alternative treatments.
I can’t tell you how many times thyroid patients reach out telling me that their doctor told them that they shouldn’t do X, Y, or Z.
But why on earth would you listen to someone who hasn’t helped you feel better for years and years?
It doesn’t make any sense, but so many people have been conditioned to believe doctors that they don’t even recognize what they are doing.
This idea of being set in their ways is further reinforced due to echo chambers.
Continuing education conferences, where new research and treatments are presented, are often supported and partially funded by pharmaceutical companies that have a financial incentive to support their own medications.
As a result, your endocrinologist just isn’t likely to hear about natural treatment options, even though simple things like changing your diet, exercising regularly, and getting more sleep have a profound effect on your thyroid.
When was the last time your doctor asked you about these things? Or did they just check your lab tests and make adjustments to your medication?
Most thyroid patients get the latter.
Reason #5. You Won’t Be Able To Convince Them To Change
The last one is kind of an extension of #4.
Many thyroid patients read information like this and they think that they can take this information to their doctor and they will be both happy to learn something new and eager to implement the new changes.
Again, unfortunately, you couldn’t be farther from the truth.
Listen to this story:
When I was in my first year of practice out of residency I had some amazing success with a husband and a wife who were among my first-ever patients.
Collectively they lost some 50+ pounds, had more energy than they could remember, got off several medications for blood pressure and cholesterol, and were overall doing fantastic.
They were obviously excited by these changes and they went to their doctor to tell him about me and what they were doing.
Instead of the doctor being happy about their success, he was upset that they went to see me and questioned my credentials and methods.
This is despite the fact that so much good had been done in their lives.
I learned pretty quickly that most doctors are really not interested in learning more or trying new things and they even feel threatened when they find someone who has more success than they do.
This isn’t a universal thing but it does exist and it’s more prominent than you would think.
The moral of the story is that doctors are not likely to change what they are doing even in the face of amazing success and positive results from others.
It’s optimistic to think that they will change their mind and try something new and I do think it’s worth a shot, but don’t be surprised when they are not interested at all.
For most thyroid patients, it’s far better and more effective to seek out a second opinion instead of trying to get your existing doctor to work with you.
Who To See Instead
With all this said, who should you see if not an endocrinologist?
Here’s what I would do:
First, start with someone who takes insurance and is local to you. Preferably your primary care doctor.
Test the waters to see if they are open to new therapies, trying new medications, and ordering the more advanced thyroid lab panel.
For most people, they won’t be completely willing to do everything you ask, but they may be somewhat receptive.
If they are, stick with them for 3-6 months to see if you can get the help you need.
If they aren’t, just move on and try to find a new doctor.
As far as which type of doctor to see, here’s where you will find the best results:
- Doctors who specialize in anti-aging medicine, bio-identical hormone management, functional medicine, integrative medicine, or natural medicine.
The biggest downside to these doctors is that they are typically expensive and don’t take insurance.
In addition, they may not even be local to you, depending on where you live.
But, in my opinion, the extra price is worth the right treatment because it’s often the difference between having symptoms like weight gain, hair loss, and fatigue versus not.
Let me leave you with this thought:
No one cares more about your life and your symptoms than you do.
And when you put how you feel in the hands of someone else, you won’t get anywhere near the same level of care that you would give yourself.
While some of this may seem discouraging, there are things that you can do to help yourself starting right now.
As I mentioned previously, simple things like changing your diet, exercising more, and taking the right supplements can have a big impact.
If you want to see which supplements I think are best for your thyroid then I’d recommend checking out this article next.
Scientific References
#1. ncbi.nlm.nih.gov/pmc/articles/PMC6471951/
#2. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01614-3/abstract
#3. https://www.liebertpub.com/doi/abs/10.1089/thy.2017.0681?rfr_dat=cr_pub%3Dpubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&journalCode=thy
What you describe has been my experience with G.P.s and with my Endocrinologist. One test TSH , no need for further thyroid tests. continue on Levothyroxine 100mgs . My TSH was 1.4 he ordered a Total T-4 the day of the appointment it was 9.7 Two months later I went to my Endo MD and all he ordered was Parathyroid level 8.50which has been High range twice in the two years ,it was 7.37 I sought him out for consult . He said no further testing is necessary. . Both Doctors said in the Medical Record that they observed my neck /”normal vision inspection” , I had on a high collar top that when I sit down it goes up to my chin. There is no way either the G.P or Endo MD could have observed or seen my thyroid unless they have xray vision. I can feel small hard around the larynx and two small softer lower where I think that is my thyroid gland. The worst part of that visit with the G.P. he is not my regular G.P. mine had an emergency . I did not consent to seeing him I was told I would after she took my ins and drivers license cards . He called my argumentative. I said to him this visit is not going well doctor I am leaving . And He ran out of the room.leaving me sitting there…..When I got the medical record . He had escalated the visit to a level 5 to F22 Delusional disorder he said reason was she believes t”he gov. is poisoning the water supply that made my bones weak” . I never said that in those words ……I am much more educated on Water Fluoridation and the what is does chemically to the thyroid, Bones and teeth. I am a antivist x 12 years in Michigan speaking in cities and to city managers and their water depts about how systemically treating the city population with fluoride , the harm it is doing t peoples bodies.
I have not drank tap water in decades and I buy and drink Spring water or R.O. water He continues to use every psychological wording he could come up with. That is the on my facesheet and in a narrative . He refuses to put in an addendum. My insurance paid him. So I was told to put in a written statement to refute it and I sought out many experts and they all told me report the doctor to the AMA and in Michigan it is the Licensing board . And see if they will investigate it . No way he could make that serious diagnose of me in 7 minutes time, that takes 5-6 hour visits with a psychologist and also testing verbally and physically. I have also cut my dose in half and within a free days I felt more like myself. I was sleeping better to , lately not so much this attack I have had has caused me much stress. I have an appointment with a two other experts . I wish you would take virtual appts . I;ll survive this but it has been a good place to be in during this covid two year lockdown.
Hi Janice,
I probably wouldn’t waste your time with that doctor and just move on to another one that is more likely to help. We only have a limited amount of time in life so it often makes sense to spend it doing things that will help us feel happier and more fulfilled. I have created this resource which outlines several ways to find a more competent thyroid doctor that I would recommend checking out: https://www.restartmed.com/how-to-find-a-doctor-to-treat-your-thyroid/
Been gaining a huge amount of wait despite being in a calorie deficit, Ive gaine 25 lbs in 5 months, my pcp prescribed phentermine and did nothing, kept gaining weight, I had to convince my gyno to give me a referral for an Endo. Saw him yesterday, left the office crying… I told him about the gain weight, being cold all the time chronic constipation and anemia, swollen legs, and so many other symptoms.. He did not order any tests, and gave me a prescription for trulicity. I asked him what is going to happen after I stop the medication and start gaining all the weight back, because the root of my problem was not being addressed, he told me while I am on the medication I should change my eating habits…. like what?? did not you listen to me telling you I am in a calorie deficit and exercising???? I feel so discouraged and mad, I do not know what to do anymore
Hi Carolina,
Unfortunately, this is pretty standard for conventional doctors and even endocrinologists. The good news is that Trulicity is a good medication for weight loss, provided it’s used correctly. Phentermine can potentially help as well, but not if it’s used as prescribed.
When it comes to weight loss in situations such as yours it’s almost always more related to hormones than calories. And dropping your calories will almost certainly damage your metabolism and make your weight loss efforts more difficult which is why this method should be avoided at all costs.
I would recommend that you read these articles for a better idea of what will be necessary to lose weight and keep it off:
https://www.restartmed.com/hypothalamic-obesity-disorder/
https://www.restartmed.com/phentermine/
https://www.restartmed.com/metabolism-thyroid-hormone/
https://www.restartmed.com/gaining-weight-to-lose-weight/
years ago, a friend of mine noticed the backs of my hands were consistently bruised and told me that’s the sign of thyroid issues i went to dr he did tests which ones I’m not sure, but he said everything was normal. Fast forward ten years after gaining heavy weight being tired all the time test after test still same symptoms even worse at time mis diagnosed with other things like fibro nothing helps, i went to er here a couple of weeks ago with migraine headache and he saw my face all swollen ,now i have been diagnosed with ra and am on meds for that plus antidepressants and Lyrica for my nerve pain and fibro that seems to have mysteriously appeared again i have lymphedema and have been having problems with my veins and had some ablations done still tired brain fog hair loss now i thought was the lymphedema in my face could be thyroid according to er dr he ran t4 test and tsh reflexive the reflexive came back below normal I have to go in and have more blood test which will probably come back normal i know a few years ago my dr found a couple of nodes on my thyroid but i couldn’t get them taken care of in office as I am allergic to lidocaine and they have to put me out and I had no driver , now I am worried about all this swelling that doesn’t seem like normal lymphedema that the drs keep pushing aside who do I see or go to what kind of dr can do the right tests to fix this ?
Hi Tammy,
The first place to start is with a complete thyroid lab panel to see if your thyroid is contributing. You can get this from just about any doctor so long as they are willing to work with you: https://www.restartmed.com/normal-thyroid-levels/
Hello,
I requested that my GP have my blood work done to test my thyroid.
My results were as follows: Free T4 0.60
Free T3 2.09
TSH <0.02
Everything is BELOW Normal, yet he has not offered any solutions.
I am 60+ years of age.
Hi Pam,
Unfortunately, that isn’t that common (as the article suggests). I would recommend checking out these resources for some more help. You can’t really count on your doctor to give you the best information when it comes to your thyroid:
https://www.restartmed.com/normal-thyroid-levels/
https://www.restartmed.com/natural-thyroid-remedies/
I struggled over 20 years to get my hypothyroidism in check with my Internal Medicine doctor. At 60, I’d had enough & requested an endo referral. After initial consult & testing, turns out I had been overprescribed. Within a few months on my new dose, I felt better & levels have remained in check. In addition, my endo discusses other aspects of my life to assist in suggesting things to change for better overall quality of life. At 65, I’m committed to my endocrinologist.
Hi Barb,
Glad you found one that is willing to work with you. There are definitely some good ones out there.
my tsh 2.4 ftt3 28 ft4 0.92 antibodies 1.5 antithyroslobulin 45 been on depreesion and anxity pills for 30 years nothing works tired nervise fell like crap evrey day could this be thyrid problems thanks
Hi David,
It could be, yes, newer guidelines suggest that an optimal TSH level is usually less than 2.0: https://www.restartmed.com/tsh-levels-normal/
It could also be related to other factors, though, such as poor sleep, lack of exercise, and so on.
Amen to everything stated in this article. I suffered from Graves disease, and hypothyroidism after RAI. In 15 years, have seen about 7 Endocrinologists. None were helpful. They only prescribed Synthroid. My weight was constantly increasing. In 2021, I finally found an OB/GYN that specializes in hormones; Dr. Dominique Smith, Lithonia, Georgia. She ordered a complete thyroid panel. She also ordered a complete hormone panel, blood count, and everything else imaginable. I had never seen this quality of care. My tests revealed that I had low testosterone, along with hypothyroidism. I was prescribed Armour thyroid, BIO-te hormone pellets, and BIO-te DIM supplement. I feel like a new human being.
Hi Renee,
Glad to hear you found someone that helped! Thanks for sharing.
Hello,
Doctors don’t listen to you which is extremely frustrating especially since I was a therapist, where listening was an integral part of my job when trying to help people. They might know medicine but give or take I know my body which is why working together is so important.
The t4 test says normal but I most certainly don’t feel normal on 50 mg of Levothyroxine and when I went to 75 mg, cognitively I felt things just weren’t right which is why I went back to 50 mg until I can figure out what to do next.
I have gained weight and haven’t lost any since I’ve changed my diet, have fatigue and aren’t motivated which wasn’t the case before I started taking this medication, have sensitivity to heat, joint pain and overall muscle aches and in the morning I wake up where my hands are somewhat swollen. The only thing that has gotten better since I’ve been on this medication is less hair loss mostly thinning of hair and my skin isn’t as dry and itchy. Other than that it’s like being on a roller coaster which I somehow need to get off of because it’s causing me to be stressed where all the symptoms increase and at times depressed over the whole thing.
I started with a family physician but he’s more what I call a prescriber and just talks with me while typing what I’m saying and than afterwards telling me what he thinks. Because of this I decided to go to an Endo where I have to wait two months to see in the hopes of finding better help but having negative experiences with doctors and reading what you said I’ll just have to hope for the best.
Levothyroxine isn’t right I just have to figure out what is. I was thinking of trying tirosint especially since its such a pure medication which might suit me better being I believe I am sensitive to dyes.
The only thing I can think of is stating your case and then letting them know what you want in the hopes they will listen and make the necessary changes especially when there are choices in the medications you can take. Kind of like you would if you were a lawyer. I feel you try the different medications and see which one works the best and before doing this request the testing you suggested. Other than this I have nothing.
From what I’ve told you, do you have any ideas as to how to deal with my situation which has changed my life and not in a positive way.
Hi Leslie,
Your assertion is basically correct. Treating your thyroid is a bunch of experiments and trial and error until you find out what works for you. For this reason, you pretty much always have to have your doctor on board. I would recommend checking out this resource which can help you find a knowledgeable doctor: https://www.restartmed.com/how-to-find-a-doctor-to-treat-your-thyroid/
Good morning,
What would you recommend for B/L thyroid nodules, solid, and one is taller than wider, which seems to be more worrisome. I only discovered them because I am feeling an uncomfortable ‘fullness’ in that area, so my pcp ordered an US.
Hi Teresa,
Please see this article for more information and options regarding treating thyroid nodules: https://www.restartmed.com/thyroid-nodule-treatment/
I been reading a lot of your information, part of me is just a little afraid and I donโt know really why Iโm. I was hyper and then I went to hypothyroidism after they gave me radiation treatments on my thyroid the only really problem I have is the weight loss plus Iโm do not have a lot Energy and I get you what you say about specialist because Iโve been going for 20 years and asking the same thing over and over with no answer, so I told my doctor I want to try tirosint and she said okay . I feel good but I been getting some hot flashes so I hope by taking maca will help.
Hi Cc,
Maca is a great supplement but typically doesn’t have a huge impact on hot flashes. Hot flashes are typically caused by changes in estrogen levels or thyroid hormone. If it’s related to your estrogen then these supplements may help: https://www.restartmed.com/estrogen-supplements/
My general doctor thinks I have Central Thyroidism. My FT4 is low and TSH is very low (due to Dessicated Thyroid medication?). My doctor wants me to see an Endochrinologist. I’ve tried making an appointment with two different ones, and they won’t see me because I’m on Dessicated Thryoid. What is up with that???
Hi Karen,
I would say that’s very strange behavior on the part of endocrinologists. Even if they don’t agree with using NDT, they are still usually not against seeing someone who is taking it. They may try to get them to switch, but that’s usually the extent of it.
Just made an appointment with someone who’ll see me. I just won’t mention Amour Thryoid until I need to. I’ve had two doctors suspect I have CT, but I feel fine.
My former endocrinologist did nothing for me. The only thing she said she would do was order the blood tests (TSH, TGAB, TPO) and help the family doctor order the thyroxine and change the doses if required. Then she discharged me because I followed all the doctors’ advice about getting another opinion. I went to a dermatologist (to rule out scleroderma because my fingernails all split from swelling) she told me nothing she sees leads her to believe I have that disease, but maybe it’s rheumatoid arthritis and go see a specialist in that disease. So I did. He told me that nothing he sees leads him to believe I have RA and that whatever I was doing (AIP, dietary changes, removal of sugar) was clearly working because my antibodies (TGAB) were coming down. When my endo found out about “all of these doctors” she said “well you don’t need me with all of these other doctors you are going to see so I am discharging you”. Based on her actions I thought to myself that’s a good idea. So I manage these days with my gyne (who did my last surgery for endometriosis in 2016) and is the only doctor who seems to care if I live or die. I also found this site to be the most informative of any site on the internet. I have recently got the Hashimoto’s bundle but they seem to stimulate and I can’t sleep. I tried reducing to daily but still couldn’t sleep so I will try alternating them. I have tried levothyroxine and after 4 weeks got symptoms of over treatment and stopped. My resting HR was in the 90s and when up moving around went up to 130s at the highest it was 137. Once I stopped the med it took 6 weeks to get out of my system and then my HR returned to my normal of in the 70s. I am glad we can share with each other because some of the doctors out there are just crap.
Hi Elly,
I’m glad you’ve found the information here helpful and thank you for sharing your story with others.
I 10000% agree with your article! Diagnosed with metastatic thyroid cancer at 21yrs old, I am 46 now. I went through 7 Endocrinologist and it was all the same. We need your TSH highly suppressed to prevent Thyroid cancer reocurrance. They didn’t address medication induced hyperthyroid symptoms or anything else. I get more thorough care from my GP because they know me and actually listen. The Endos seem to be more diabetic driven, always wanting to check for diabetes, which I did and do not have.
Hi Marie,
Your statement about diabetes is spot on. You would think that an endocrinologist would be the best option for hormone imbalances but that is rarely the case as they primarily focus on diabetes. Good luck getting an endocrinologist to balance estrogen, progesterone, testosterone, or thyroid correctly.
HELP! I have been a T2 diabetic on insulin for many years, and was convinced I was hypothyroid. I kept asking my doctors to check, but those that did text did the usual TSH, t3 and 54 and said I had no thyroid dysfunction. So I started to do my own research, over a number of years and getting nowhere with mainstream practitioners, and finally found a thyroid clinic treating patients with Hashimoto’s. I had a raft of tests done – and I have Hashimoto’s. Given my medical history, the doctor believes I have had Hashi for at least 10 years. I am now being treated with Armor. BUT – I have one doctor treating my diabetes, one treating my Hashimoto’s. They both have different theories. I am now on a raft of medications prescribed by three different doctors, and there is not one person who will objectively assess my meds to see if they clash of counteract each other. What can I do????
Hi Annette,
The best thing you can do is locate someone who can put the whole picture together. You can use this resource to help you find someone like that: https://www.restartmed.com/how-to-find-a-doctor-to-treat-your-thyroid/
Spot on. Especially #4. Hashimotos for years. Gave a young endo a chance after 15 years not seeing a “specialist “, gave us the same nonchalant attitude as the 60 year old doc did years ago. Did offer cytomel in addition to levo….
Agree! It took a functional medicine clinic (Serenity Healthcare in Waukesha WI) to connect the dots and find my thyroid issues (and Lyme disease). Spot on Dr Childs!
Certainly true with an Endo I saw in Australia a number of years ago. Tested T4 only and when I asked about T3 she said that if I have enough T4 she knows I have enough T3! Couldn’t believe what I was hearing. Also told me I had atherosclerosis just from listening to my heart.
Finally found a GP that treats with T3. Things improved a great deal for a while then was feeling very unwell again so asked if I could try slow release T3. He didn’t know anything about it but was willing to prescribe with advice from a compounding pharmacist. Things got worse and I realised it wasn’t absorbing. I went over all of your research again and found the reason I had been feeling so unwell. I suspected my Ferritin levels were involved as they had dropped enormously. I am iron deficient and have been for approximately 3-4 years. Back on immediate release and working hard to try and overcome the iron deficiency through diet initially.
Post thyroid surgery decades ago I have had to diagnose everything myself because doctors don’t have enough knowledge. I can’t thank you enough for the information and expertise you are willing to provide.
I’ve been on NP for many years. I recently had to see a new doctor due to insurance. When my TSH came back as .005 she totally freaked out and said I will be getting osteoporosis because of my meds. I’m 73. I agreed to try levothyroxine for a month. After 2 weeks I had gained 5 pounds and my hair was falling out by the handfuls. On my own I switched back to the NP and everything returned to normal. I guess my question is the .005 TSH. Should I be concerned?
Hi Kathy,
You should always be concerned over potential side effects but the fear of a side effect shouldn’t prevent you from using the treatment cautiously. All you need to do is keep an eye on your bone density while you are taking it. If you see it drop then you can determine if the benefits you get from it are worth its potential downside. But to avoid using it for fear altogether doesn’t make much sense.