First full test results...what next?

Hi there, I've now had 2 lots of tests, and would like some help with what happens next, no diagnosis. I am 58 and well through the menopause. These symptoms have come in the last 2/3 years. My main symptoms are fatigue, depression, poor concentration/foggy, sluggish, no drive, low libido, pressure headaches, aching/painful feet (and now hand....feels tight and swollen), tight calf muscles and stiff ankles (no clear reason for this), generally achey, dizziness, balance issues and losing co-ordination (this feels crazy as I have taught dance and movement classes for 35 years), Puffy eyes, weight gain, can't tolerate alcohol, Hemorrhoids. The one thing I don't have is feeling cold!

TSH Level 3.41 mU/L range 0.3-4.4

Serum free T4 11 pmol/L range 9-19.1

No T3 done

No thyroglobulin done but they did serum globulin? 22 g/L range 22-43

Thyroid Peroxidase 5 IU/mL they stated less than 6 is okay?

Vit D 62 nmol/L they stated over 50 is okay

Folate 12.3 ug/L they stated over 2.4 was fine

Ferritin 67 ug/L range 15-300

CHL 7.5 mmol/L this was all my GP wanted to discuss.

[SimonA87]

Best to get your free t3 done as well.

In my experience, NHS won't do anything unless you are out of range.

[Learner1]

You likely need some T3. Always get free3 checked. Reverse T3 and thyroid antibodies would be useful too.

Your vitamin D is very low, needed for hormone production, Try 5,000 IUs a day til it gets up to 150.

Try taking methyl12, maybe 1g a day. You can't really overdose, it may help with fatigue.

Get a high quality multivitamin, like Thorne MetaFem. You may need the minerals, antioxidants, or herbs.

Eat a high quality nutrient dense diet. Paleo would be good to try and avoid gluten, corn, and soy. Eat 1-1.4g/kg of protein, lots of nonstarchy vegetables, and abundant healthy fats.

See if any of this helps, then come back for more advice.

[Marz]

Raised cholesterol is a symptom of LOW thyroid hormones ... Years ago - before Thyroid testing came to be in the 70's - people with raised cholesterol were assumed to have low thyroid hormones and were treated accordingly. Those were the days - when you had to poke out your tongue for the GP to check - your neck was palpated - finger nails checked - eyelids pulled down to check for anaemia and so on. Tonics of the GP's own recipe were often prescribed too - no doubt full of iron - the B's 50 years ago Big Pharma did not have a grip on our health systems they have today .... sad but true !

[Hidden]

Sorry I forgot to put my B12 on there

B12 377 ng/L range 180-900