'Moth eaten thyroid' sounds like you may have autoimmune thyroiditis (Hashimoto's) damage. Have thyroid antibodies been tested?
TSH 2.58 indicates your thyroid is failing which is hardly surprising as it is 'moth eaten'. FT4 and FT3 are currently good levels and normal. NHS won't diagnose hypothyroidism until TSH is over range or FT4 below range. You might find 200mcg helps support thyroid but it is likely you will become hypothyroid eventually as thyroid is damaged.
What you need to do is get the numbers. Never trust a doctor when he says 'normal', he just means 'in range', he has no real idea what 'normal' is. And, sometimes, they have some very strange ideas about what is 'in range', and what isn't!
Hi, I've read a few articles which state that the liver is where you convert a lot of your t4 to t3 and therefore a healthy liver is a crucial part to the system. On the ranges given your t3 level is fairly low and could cause symptoms, I've certainly had symptoms with mine that low. I don't know much about fatty liver but have you looked into causes of it? I'd guess that working on healing and supporting that would be the place to start but I'm sure more knowledgeable people will offer advice too
I would have a new blood test as your results were a year ago so may not now be relevant. Your doctor should have taken your family's history into consideration. Nowadays doctors don't go by clinical symptoms of hypothyroidism but by a test alone. However, your doctor has diagnosed 'depression' according to one symptom!
These are some links and you will see in one, the most important tests are Free T4 and Free T3 and why.
Blood tests for thyroid hormones have to be at the very earliest, fasting (you can drink water) and if you were on thyroid hormone replacements you should allow a gap of 24 hours between last dose and the test and take afterwards.
Ask GP to test TSH, T4, T3, Free T4, Free T3 and thyroid antibodies.
B12, Vit D, iron, ferritin and folate - he should do these but may not do FT4 and fT3.
However, for those he will not do, you can get a private test which will include all of the important ones.
Citalopram is an SSRI, which can be bad for your thyroid health. If you've already started taking it you may wish to reconsider, and would need to taper down your dose.
Your fT3 is near the bottom of the range, and metabolic syndrome can be responsible for the poor conversion. Taking T3 (you would be very lucky to get a prescription) would help your energy and mood levels.
Kefir and home-made sauerkraut should help with the bloating and B12 level. Avoid simple carbs and mass-produced bread -- you might want to start making sourdough.
Raw carrots, slithered lengthways, can help mop up excess oestrogen and allow it to be eliminated.
I'm assuming you have poor sleep patterns, so try and improve them by getting to bed at a set time. If you have any hint of sleep apnoea ask for a sleep study.
I rather think the same as Foxrabbit, if you have fatty liver this can contribute to/cause some of your symptoms, including fatigue. You could have multiple mineral deficiencies (minerals are at least as important as vitamins, in many cases more so). Fatty liver usually points to a low intake of Essential Fatty Acids (or a deficiency).
I have a book lurking around somewhere that goes into great detail of how important good liver function is. If you are at all interested I can root it out and let you know the title.
Your symptoms could be from metabolic syndrome rather than thyroid. You can help to reverse metabolic syndrome I believe through the right nutrition, control of body weight and exercise. I think you'll find something on Diabetes UK website about healthy nutrition that could help. Information about metabolic syndrome on the NHS choices website nhs.uk/conditions/metabolic...
You don't have autoimmune thyroid antibodies so yes worth checking thyroid results again in case they have altered but if not then your results are normal so you may need to look for another explanation. It sounds like your gut health is not so good so could you get advice about nutrition?
I completely understand the Metabolic Syndrome, but I am hardly overweight I just have belly fat. I already eat a low carb diet and have always had quite an active lifestyle
Its got to be the thyroid or liver causing this, but surely if the thyroid is moth bitten there is a serious thyroid issue???
It may be an idea to cut out gluten and/or dairy. If you have gut issues it would be sensible to try a healing programme so that your absorption is maximised. This will help your liver by reducing the burden. (Gluten Free is no longer a terrible thing!) Milk Thistle is gentle as liver support, as is glutamine. Aloe Vera juice for healing the gut. Have you been tested for Candida? Hope this helps.
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Help with thyroid results 
Update Labs/Contradicting Symptoms:
Thyroid labs stability 
Looking for insight on thyroid labs please!
