I have lots of fatigue, weakness, problems with sleep (waking up in the middle of the night and being unable to get back to sleep), bad brain fog, dizziness (but not 100% of the time anymore, but when I get any kind of stress, even the smallest worried though), no stress tolerance, cold and heat intolerance, hot flashed when a bad day, a little bit of balance issues when walking on a bad day, lots of issues with shoulder and neck muscles (fibromyalgia), long recovery after any activity, my metabolism is really slow (energy production), weight loss impossible and weight gain super easy, numbness and tingling on skin if stressed, dry ears and some other symptoms.
My labs in February were:
TSH 1.75 mlU/l (Range 0.40-4.00)
Free T4 15.39 pmol/l (range 10-21)
Free T3 4.15 (range 3.5-6.5).
TyglAb <15 (range <60)
TPOAb 69 kU/l (range <60)
Reverse T3 nmol/L (range 0.14-0.54)
So I have had a bit of hashimotos, which has been treated with nutritional methods of dairy-free and gluten-free diet so this should be down by now. I will check in a couple of months.
Here's the issue. With my labs tests not being the worst but still having lots of symptoms, my doctor wanted to try temporary medication. My labs have improved noticeably during the last 16 months so they were noticeably worse. So I just tested Nature Throid medication starting with 1/4 g months. On the first day I started having lots of issues with it and it only got worse the next 2 days. So I stopped it. The doctor said that now that we have tested the medication, I don't seem to need it. The problem is that my life is very limited at the moment.
I also have gone through issues with low cortisol, but this is pretty good now and I don't have the symptoms I used to because of this. I also had very bad small intestinal bacterial overgrowth that was treated with Rifaximin antibiotics for a month and since then (5 months ago) I've been taking lots of probiotics and other things to help the gut recover. So all of my issues were caused by a longterm bad stress and I ended up very burnt out. Hence the low cortisol, thyroid issues and gut issues.
My functional doctor thinks that I've had thyroid issues for a few years and the issue has got on cell level so the cells are not working properly, which is what the super slow metabolism shows as well.
So my issue is that I have all these symptoms, no medication and I don't know what to do anymore. My doctor is on summer holiday until the end of July so I can only speak to her after July. I'm also meant to start some new work things in August, which I'm not able to do in the condition I'm in. I work part-time from home, which is ok, but I'm not able to go anywhere as I simply don't have energy to do so.
Should I still try Thyroxine medication (synthetic T4)? Would this possibly still work, even though Nature Throid wasn't good for me? I'm just thinking that maybe my body just got too stimulated by the T3 in the medicine and I would be better off with the inactive T4 medication?
What do you think about my lab test for Reverse T3? It's in the middle of the range, but I've understood that it should be at the low end of it.