What dose of synthroid is administered to reduce goiter or tumor?

swollen thyroid gland, but all bloodwork for Thyroid shows normal.
currently on estrogen and a smoker.

Normal isn't always normal. The ranges at most labs are outdated for their thyroid levels. Many labs have the range as 0.3 to 5.5. AACE recommends treatment at a TSH of 3.0 and some other sources say a 2.0 with symptoms should be treated. Also, TSH should always be done in the morning as TSH is highest while we sleep so testing first thing in the morning is the best time to test.

Find out what your TSH was and the time of day it was done. Other tests besides TSH you shiuld have done if you have a goiter is Free T4, Free T3, and an antibody test. If one of these are off, you may be given thyroid medication that may shrink the goiter. Most doctors will start you on 50 mcg's of T4.

If you show you are hypothyroid, keep track of your blood levels until you get that TSH around 1.0 or to where you feel good and the goiter has shrunk

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