When T4 and
TSH levels are high ,though rarely , certain conditions should be considered
1 poor compliance with
thyroid replacement in patients with hypothyroidism and 2.more rarely seen in the recovery phase of non-thyroidal illness.
3.lab interference 4.resistance to thyroid hormone
And 5.pituitary tumor
If you have really these elevated levels , endocrinologist should examine you and manage accordingly.Telehealth has very limited role in such condition.