If you have thyroid antibodies, that means it is not central hypo, right? I mean, you wouldn't have both?
So if you have the antibodies, and free T4 at the bottom of the range, but the TSH is only creeping up over ten years from 1.7 and 4, (say on a range 0.27 - 4.2) - that's probably because of the slow down that hypo-metabolism produces, as Dr Myhill suggests. So you feel awful, because the body is crawlling along with the handbrake on.
I'm just looking back at tests over the years of feeling dreadful and trying to work out what was happening.