New 32 y/o Male - Please Help Me Interpret My Thyroid Lab Results

[prettayyygood]

Hi Everyone,

I'm from the US so not sure if it's okay to post here but everyone seems so knowledgeable that I'd thought I'd give it a shot. I'm a 32 year old male and I have been suffering from a variety of symptoms that I suspect could be thyroid related. These are the major ones I want to fix:

Insomnia - I never have deep, restful sleep and often wake up during the night.

Total lack of emotion. I can't remember what being happy or excited or motivated feels like. I know I'm not depressed. I'm not sad I'm just completely apathetic.

Cold sensitivity/cold hands

Horrible brain fog. Its very hard to concentrate and focus on my work.

Fatigue - I have to will myself to work out (lifting) and rarely have the energy. I recover very slowly from exercise. I'm very exhausted by the end of the day but I still have issues sleeping even though my body feels so fatigued.

Low libido

I have Crohn's disease but these symptoms seem unrelated to the Crohns which is mostly under control. At first, I thought it could be low testosterone but I had that tested and it was in the 800's, so no issue there. I have had really low iron levels for a long time but I have been receiving infusions and have been at healthy iron levels for a few months now. I'm also making sure I eat at least 2500-3000 calories a day. Here are the lab results I ordered:

FREE T4 INDEX – 2.0 (Range: 1.4 - 3.8)

T3 REVERSE: 11 (Range 8-25 ng/dL)

T3 UPTAKE: 32% (Range: 22-35%)

T3, FREE: 3.4 (Range 2.3-4.2 pg/mL)

T3, TOTAL: 109 (Range 76-181 ng/dL)

T4, TOTAL: 6.2 (Range 4.5-12.0 mcg/dL)

T4, FREE: 0.9 (Range 0.8-1.8 ng/dL)

THYROGLOBULIN ANTIBODIES: <1 (Range < OR = 1 IU/mL)

THYROID PEROXIDASE ANTIBODIES: 2 (Range <9 IU/mL)

TSH: 1.56 (Range 0.40-4.50 mIU/L)

FOLATE, SERUM: 7.1 ng/mL (Normal >5.4)

VITAMIN B12: 637 (Range 200-1100 pg/mL)

VITAMIN D, 25-OH, TOTAL: 37 (Range 30-100 ng/mL)

They look pretty normal but I don't know too much about how to interpret these results. Free T4 and Reverse T3 seem low but I don't know what that means. Could I have a thyroid issue? I want to find out if I need to see a doctor who could treat me. I'm also wondering if there are more labs I should order. I appreciate any insight as to what is causing these horrible health issues.

[IVFthyroid]

Could be an Adrenal issue as symptoms are quite similar, I'd suggest getting a saliva test done to see if it's adrenal.

[greygoose]

They all seem fine except for your vit D. It would be a good idea to supplement that, I think. You need to take vit D3, and with that, a little vit K2 and magnesium. But, don't start them all at once. Leave a gap of two weeks between starting each one.