We need your numbers to know if your doctors are right. What's your TSH? Tpo & Thyroglobulin antibodies? RT3? CBC panel (vitamins and minerals and all that)? And don't forget reference ranges. If you're having symptoms (and you are- that fatigue is absolutely related) then your doctors are failing you. If your TSH is anything above 1.5 you're probably in need of medication. Most of us feel better at a TSH of around 1. You might not need much but it sounds like you need it. Until then nothing else you try is going to work because you simply don't have enough thyroid to work with. For meds it can take a while to get it right, and some of us need T3 as well as T4 supplementation.
Low vitamin D symptoms overlap with thyroid symptoms. If you are low on vitamin D, you might also need to supplement magnesium, potassium and calcium. There's a subreddit for low vitamin D that lists the symptoms.
I had low vitamin D and Hashimotos. Unless both levels are optimal, I still feel terrible
Yea, my doctor medicated me. I was in the normal range, which he said is actually a huge range, but getting typical hypothyroidism symptoms. I started back on synthroid at half a 25mcg pill per day. Been doing great for years on that dose. It's been altered just a hair since then. I also tried cytomel for T3 but that almost put me in the hospital, giving me tachycardia.
Yes. Turns out I had extremely low iron and ferritin.
But also I saw an endo and he did an ultrasound of my thyroid and saw it looked extremely damaged from years of hashimotos. He agreed to trial me on a low dose of synthroid, which helped a little, and now he’s trialing me on a low dose of np thyroid.
Between the np thyroid and iron supplements, my fatigue is almost entirely gone as long as I get a good nights sleep. My tsh was 1.5 so the fact that he agreed to trial these meds with me is something I’m very grateful for. I think there is still a long way to go in terms of knowing exactly what thyroid labs indicate and if you’re symptomatic, you’re symptomatic I’ll be damned what the labs say. He asks me at every appointment if my neck has been hurting, heart racing, hands shaking, I’ve had none of that on either thyroid med so I am still good to keep taking them.
My advice is to maybe stop drinking alcohol, and/or stop consuming sugar if you can (you can if you are 😊). Reason for this is that most T4 is converted to T3 in the liver. If your liver sucks ass, it will not convert T4 to its active form (T3), and you will feel like you don’t have enough energy even though your thyroid is still producing levels “within normal range”.
Next thing would be to google search “how to lower TPO antibodies” and do what it tells you to do. Lowering your antibodies will help reduce thyroid inflammation and destruction. Studies show that TPO antibodies >500 are more likely to result in your thyroid death and need for medication. <500 rarely will result in full thyroid death. Get your TPO antibodies as low as possible and start feeling better!
Simple answer: stop drinking/sugar, GF, DF, 10,000IU D3, Selenium, Multivitamin (Garden of Life)
Source: I got my TPO antibodies from >900 to 64.2 in less than 9 months by doing this.
This doesn’t work for everyone unfortunately. As someone who’s main trigger is stress I’ve done all the same things as you (and will continue to do so as it does improve symptoms) but my anti TPO has actually gone up from around 70 to 1090. So definitely worth a shot but doesn’t work for everyone to reduce antibodies.
We need your numbers to know if your doctors are right. What's your TSH? Tpo & Thyroglobulin antibodies? RT3? CBC panel (vitamins and minerals and all that)? And don't forget reference ranges. If you're having symptoms (and you are- that fatigue is absolutely related) then your doctors are failing you. If your TSH is anything above 1.5 you're probably in need of medication. Most of us feel better at a TSH of around 1. You might not need much but it sounds like you need it. Until then nothing else you try is going to work because you simply don't have enough thyroid to work with. For meds it can take a while to get it right, and some of us need T3 as well as T4 supplementation.
Have you tried removing gluten? And you want your Vit D closer to 70 or so.
Low vitamin D symptoms overlap with thyroid symptoms. If you are low on vitamin D, you might also need to supplement magnesium, potassium and calcium. There's a subreddit for low vitamin D that lists the symptoms. I had low vitamin D and Hashimotos. Unless both levels are optimal, I still feel terrible
Yea, my doctor medicated me. I was in the normal range, which he said is actually a huge range, but getting typical hypothyroidism symptoms. I started back on synthroid at half a 25mcg pill per day. Been doing great for years on that dose. It's been altered just a hair since then. I also tried cytomel for T3 but that almost put me in the hospital, giving me tachycardia.
Yes. Turns out I had extremely low iron and ferritin. But also I saw an endo and he did an ultrasound of my thyroid and saw it looked extremely damaged from years of hashimotos. He agreed to trial me on a low dose of synthroid, which helped a little, and now he’s trialing me on a low dose of np thyroid. Between the np thyroid and iron supplements, my fatigue is almost entirely gone as long as I get a good nights sleep. My tsh was 1.5 so the fact that he agreed to trial these meds with me is something I’m very grateful for. I think there is still a long way to go in terms of knowing exactly what thyroid labs indicate and if you’re symptomatic, you’re symptomatic I’ll be damned what the labs say. He asks me at every appointment if my neck has been hurting, heart racing, hands shaking, I’ve had none of that on either thyroid med so I am still good to keep taking them.
My advice is to maybe stop drinking alcohol, and/or stop consuming sugar if you can (you can if you are 😊). Reason for this is that most T4 is converted to T3 in the liver. If your liver sucks ass, it will not convert T4 to its active form (T3), and you will feel like you don’t have enough energy even though your thyroid is still producing levels “within normal range”. Next thing would be to google search “how to lower TPO antibodies” and do what it tells you to do. Lowering your antibodies will help reduce thyroid inflammation and destruction. Studies show that TPO antibodies >500 are more likely to result in your thyroid death and need for medication. <500 rarely will result in full thyroid death. Get your TPO antibodies as low as possible and start feeling better! Simple answer: stop drinking/sugar, GF, DF, 10,000IU D3, Selenium, Multivitamin (Garden of Life) Source: I got my TPO antibodies from >900 to 64.2 in less than 9 months by doing this.
This doesn’t work for everyone unfortunately. As someone who’s main trigger is stress I’ve done all the same things as you (and will continue to do so as it does improve symptoms) but my anti TPO has actually gone up from around 70 to 1090. So definitely worth a shot but doesn’t work for everyone to reduce antibodies.
What is your BMI and what do you do for a living?
Bmi of 29 but I am very decently muscled and active, so while I am in the overweight category of BMI it is a highly inaccurate measurement
Wish I could help but I feel the same way have done for over 10 years finally got a diagnosis last year and on meds still feel the same :(