So how do I get Tapazole in a cream for the ears? The compounding pharmacy locally is outrageous.

Just replying to this because I've been fighting this with Yodee. When I first brought her home she was on the pills. Her T4 went down so her med was cut in half. Then she started to lose her appetite so I asked and received the cream for the ear. I was giving her that for about 4 or 5 days and during that time she went back to the vets for a lion cut because she was covered with mats and I'd lose a hand or both if I tried to groom her. I also noticed that her appetite increased dramatically.
Test results came back yesterday and her T4 is up again so tonight I've started her on the pills again. I crush them and put them in some very fishy stinky wet food that she likes. She didn't eat much of that but I'm hopeful that by the time I go to bed most of it is eaten. I can pill her but she hates it and gags sometimes.

It's a never ending process. **sigh** Prayers for Emily coming your way. I feel your pain.