Really am at the end of my tether with a disinterested GP and a seemingly clueless endo.
I was diagnosed with hypothyroidism 3 years ago after a battle with my GP over my TSH result which was nearing 6. I felt awful, was experiencing many symptoms to include a feeling like wading through mud, all thought processes slowing to near halt and anxiety, panic attacks and depression to the point I almost took my own life. I couldn't see the wood for the trees and ended up having to leave my job. I was eventually prescribed levo and have managed to regain a certain degree of functionality over the last couple years, got a new job and although not completely better, I was able to get by.
Until recently, all my old symptoms are back with a vengeance (chronic fatigue, weight gain, muscle cramps/pain, confusion, memory problems, slow thought processes etc) and I feel like history is repeating itself. I am currently off work. My GP is just not interested and simply tells me my results are 'normal' and although my endo is marginally more receptive and has agreed to do more blood tests I'm not entirely convinced he knows what to do with them. My levo has been increased to 200mcg a day, i am due to be referred to the sleep apnea clinic for assessment and I see the endo again in 6 weeks.
I'm desperate, I fear I'm going to have to give up the career I've worked so hard for as I simply cannot function like this. It's verging on dangerous and in my line of work especially, this is not a good thing.
I felt best (although not symptom free) when my TSH was 1.8 which from what I can gather falls in line with optimal level being under 2. I have been experiencing hair loss (coming out in clumps) which if I've understood what I've read correctly this could be down to my ferritin levels being only 18 and optimal level being at least 60 or 80 if experiencing hair loss. Other than that I'm not sure. Any help would be greatly appreciated. Reference ranges given in brackets. Blood tests are from sample taken in the morning at 10:15am.
TSH - 3.4 mu/L (0.35-5.50)
FREE T4 - 16.2 pmol/L (10.0-20.0)
FREE T3 - 3.9 pmol/L (3.5-6.5)
TPO antibodies - >1000 IU/ml (<35)
Cortisol - 210 nmol/L (200-500)
Ferritin - 18 ug/L (10-291)
Folate - 6.60 ug/L (>4.0)
Vitamin B12 - 301 ng/L (211-911)
prolactin - 143 mu/L (59-619)
FSH - 5.2 U/L (3.0-10.0)
LH - 3.6 U/L (2.0-13.0)
IGF-1 - 153 ng/ml (115-307)
oestradiol - 166 pmol/L (72-529)
Haemoglobin A1c - 39 mmol/mol (20-41)
My vit D and zinc levels have been checked and are normal (I don't have the actual results to hand). I am on active supplementation for both.
I also have results of urea and electolytes, liver function tests and bone profile which all appear to be normal. If you think they may help you help me, let me know and I'll post these up also.
Forgot to mention I also have a mutinodular goitre, dry skin and painful heavy and irregular periods. Sorry brain fog got me again. It helps to write things down