Hi, I've had an underactive thyroid for nearly 30 years now and have only seen an endocrinologist once in all that time, and that was after being newly diagnosed. For years I've been plodding along pretty much exhausted all the time but putting that down to my chronic iron deficiency anaemia as my TSH, apart from a couple of times when it was high (and levothyroxine dosage was subsequently increased), was always within normal limits.
The thing is I have all of the signs of an underactive thyroid, but surely if I was well controlled I wouldn't have any symptons. My temperature is always low, I'm intolerant to cold but strangely even more intolerant of heat, (I hate the Summer because of this). I'm always tired, but not just tired, bone tired, I have no energy for anything. My skin and hair are dry, my brain is foggy and getting worse, trying to have a conversation can be difficult when I sometimes struggle for simple words. My partner gets fed up of me substituting the word 'thing' while I am trying to come up with the word I want, but it's either that or stop talking.
Just lately my already thin hair has been shedding more than ever, so much so that you can easily see my scalp. This is what took me to my GP as I hate going there and so rarely do. Having read on here about T3 and how it can be as important to replace it as well as the T4, I thought I would ask her to check my free T3 and T4. She said she couldn't check it if my TSH was okay. She's given me a form for this to be tested but that's it. She also said my hair loss was more likely due to my age as I'm perimenopausal. Do you think it is worth asking if I can see an endocrinologist, or can she refuse if my TSH is within normal limits? Sorry for the long post.
I look forward to receiving any advice you can give me.