I have had a diagnosis of Postviral Fatigue Syndrome for 13 years (I fit the criteria for ME except I don't have any pain worth talking about!). I've always wondered about adrenal fatigue and possible hypothyroidism and asked for TSH and Free T3 and 4 tests (when I looked them out this morning, I was shocked to see that it was back in May 2011!). The lab refused to do FT3 based on the TSH and FT4 result. My results were:
TSH 1.69 mIU/l (0.34-5.4)
FT4 13.2 pmol/l (9-24)
These are "low normal" but, of course, because they're within the normal range, my doctor won't consider any treatment.
Thyroid UK site on the interpretation of TSH Blood Test results suggests that, with TSH between 0.1 and 2, we can make a "presumptive diagnosis on clinical grounds and basal temperatures"; and that, if T3 & T4 are at the lower end of the range, we should consider the diagnosis confirmed.
When I remember to take my basal temperature, which is not often(!), it's around 36.5 C (if I'm remembering correctly!).
Recently (after some advice on Facebook via Stop the Thyroid Madness), I've been charting my temperature 3, 6 and 9 hours after wakening, to check fluctuations of over 0.2 degrees F. My average temperature over those 5 days is 36.3 C / 97.3 F, with fluctuations between 0.2 and 0.4 F. According to STTM, this means I need both adrenal and thyroid support.
My problem is - if my doctor won't entertain treating me, is there a way to treat myself?
Sorry this is so long and detailed. I hope someone has the energy and wherewithal to help!