I have Hashimotos and currently take a combination of T4 (100mg)/T3 (10mg), my TSH is a little suppressed and my T4 is fairly close to the top of the range. I still suffer from fatigue but I can manage this a bit better since starting on T3. My big problem however is low blood sugar symptoms, these have always been a problem for me but it's now getting to an extent where it's really affecting my life. I have had my blood sugar levels measured several times over the last few years and they have always been in range. I bought myself a blood sugar meter and again my levels appear to be pretty good, they never go too high after eating and are generally about 4 (sorry can't remember units) first thing in the morning. However if I don't eat regularly I get really shaky, weak, fuzzy headed and panicky, sometimes even after I eat something I feel pretty awful for several hours, it's almost as if I left it too late. It tends to be worse in the early part of the day, usually by late afternoon I'm not too bad. Does anyone else have these symptoms? I'm a 48 yr old female btw. Would really appreciate any advice.