I'm on levothyroxine and cytomel (liothyronine) for t3 and t4 and my blood work came back tsh w/reflex to ft4 is 0.01 l and t4, free is 0.6 l. what does this mean?

Need more info: Your medical history is very important in this tnstance. The best answer you can get & deserve is from the physician who ordered the tests.

Several things: Hi. Without seeing your thyroid function over time, I'd say the fact that you have a goiter & 2 cm nodule (same thing, or different?) AND taking T4 AND T3 (liothyronine), (liothyronine) you may be over-treated with T3 (liothyronine) so that your TSH is suppressed and that causes low free T4, which is not made up for by the levothyroxine you're taking. I suggest you talk with your doctor, who won't have to guess like we do! Good luck!