Hi again thanks for the replies and explanations yes I do seem to have a lot of the symptoms described perhaps this is why I have felt so rubbish for a long time not just the uat. It was a struggle to get the doc to do more blood tests he only really took any notice when he saw the vitiligo on my hands I have been taking levothyroxine for about 15 years and know how docs can dismiss you as being stessed etc. when you know that you don't feel right. I was at a really low point a while ago and am so glad this website exists there wasn't anything like this when I found out about my uat. Hope fully this will be a turnaround and other docs will start taking notice of what people are saying to them.