So there I was, brushing my hair and sticking my tongue out at myself in the mirror, when I noticed that my tongue seemed ever so slightly scalloped, looked a bit bigger than usual and seemed also to be slightly more shiny or glossy along the edges. It's only very slight but I don't think I'm seeing things. It feels slightly larger than usual too, but that might be psychosomatic.
The thing is, I don't know why. My thyroid levels are pretty much optimal (now on 150mcg T4, 10mcg T3, the latter increased recently after last bloods showed room for a small improvement). I supplement with 1000mcg sublingual B12 per day (although often end up chewing them out of habit) and my last B12 bloods in May or so showed a level of 750 or so having stopped supplementing two or three weeks before. I take 305mg ferrous fumarate per day and will probably have to do so for life; ferritin levels are optimal. My last folate test in June was a respectable 12. something, upper limit of 20 or so in my area. Last vitamin D test this summer was over 100 without supplementing.
So everything looks pretty good. The thing is, I've been chronically tired for years, my withdrawal bleeds on the pill (Loestrin 30) have become very erratic: sometimes absent for months, sometimes much heavier and clottier (like postpartum clots) than usual, having previously been reliable and predictable. I'm getting some hot flushes but they are not all day every day and my day-to-day temperature is relatively at 37.4C; the flushes started before the dose increase. My pulse rate has decreased slightly.
I'm currently being investigated for early menopause (I turned 40 last week, with symptoms in evidence for at least six months) but that shouldn't cause scalloping. I'm at a loss: does anybody else have any ideas?