In trying to diagnose hypothyroidism the most important indicator is symptoms. You reported having many hypo symptoms. The next most important indicators are Free T4 and Free T3 levels. Your Free T4 is lower than many of us have found to be optimal. It is usually best if at least mid-range. Your Free T3 is about mid-range, and it may be that the reason is that your body is converting extra T4 to T3 in an effort to maintain body functions as best possible. It will also be revealing to see what your Free T3 to Reverse T3 ratio is when RT3 result is available.
Doctors have been taught and like to believe that TSH tells them all they need to know about thyroid status. This is incorrect. If TSH is over 10 it is classified as overt and will be treated. If between 5 and 10 it is classified as subclinical and many doctors will not treat, even if the patient has many hypothyroid symptoms. Your TSH is still within range, even though your TG ab result indicates Hashimoto's Thyroiditis. With Hashi's the autoimmune system erroneously identifies the thyroid gland as foreign and produces antibodies to attack and eventually destroy the gland. As this proceeds, less thyroid hormone can be produced and the TSH rises in a attempt to stimulate more thyroid hormone production. Your test results indicate you are likely in the early stages of Hashi's, even though you have multiple hypo symptoms.
A good thyroid doctor will treat a hypothyroid patient clinically by testing and adjusting Free T4 and Free T3 as needed to relieve symptoms, without being constrained by resultant TSH levels. Symptom relief should be all important, not just test results. You can confirm all this by reading at least the first two pages of the following link, and read more if you want to get into the discussion and scientific evidence of all that is recommended.
http://www.thyroiduk.org.uk/tuk/TUK_PDFs/diagnosis_and_treatment_of_hypothyroidism_issue_1.pdf
Don't expect that being an Endo automatically means a good thyroid doctor, because many specialize in diabetes, not thyroid. Also many of them have the "Immaculate TSH Belief", and use "Reference Range Endocrinology", by which they would say you are okay and don't need treatment. Any doctor that you see that is unwilling to treat clinically, as described, is very unlikely to treat you adequately, if at all. If you want, we can possibly suggest a good thyroid doctor in your area if you will tell us your location.
Finally for now, hypo patients are frequently too low in the ranges for Vitamin D, B12 and ferritin. If not tested for those, you should do so and then supplement as needed to optimize. D should be at least 50, B12 in the upper end of its range, and ferritin should be at least 70, and some say 100. Note that adequate ferritin is needed for good hair growth.
Sorry I thought I had sent you info previously, but it does not show up, so I just sent a PM. To access, just click on your name and then from your personal page, click on messages.
We all know how frustrating it is to try to find a good thyroid doctor. If you will tell us your location, perhaps someone can give you a doctor that has been recommended by other thyroid patients.
I hate to rain on your parade, but I know of no information showing you can reverse the effect of Hashi's. Even one of the biggest proponents of the theory of leaky gut causing Hashi's ( not verified with conclusive scientific evidence) says that prior damage to the thyroid is not reversible, and will require thyroid medication. So I think you need to find that good thyroid doctor that will treat you clinically, as described. If natural ways,/supplements are ineffective, and your Hashi's causes additional deterioration of the thyroid gland function, then your med dosage will need to be increased accordingly. Also, don't overlook the importance of Vitamin D, B12 and ferritin.
When you think you know ways to reverse your symptoms, please let us assess them before you try.
Ok, so my Endo said it's likely I have Hashimotos but because my TSH, T3, and T4 were within range he will not treat me. Which is fine. I've been researching ways to reverse my symptoms on my own. Not easy, but I'm trying. He also said to recheck just the TSH once a year. If it goes out of range, he'll treat me. So, basically, he's one of those doctors. I liked him, and the office, but the fact that he was so focused on the TSH as the main test bothered me.I went in looking for confirmation that I had what I assumed I did. I'm certain I got it.
Hi. I had insulin resistance (but not PCOS) and it caused numerous hypothyroid symptoms but no abnormal standard lab results. It was only when I also developed Hashimoto's that my existing hypothyroid symptoms worsened and I developed even more symptoms. I found two articles you might be interested in and posted an excerpt from each.
Lara Briden - "Treatment for 4 Types of PCOS. Treat the Cause."...
4 Types of PCOS
1) Insulin-Resistant PCOS
This is the classic type of PCOS and by far the most common. High insulin and leptin impede ovulation and stimulate the ovaries to make testosterone. Insulin resistance is caused by sugar, obesity, smoking, trans fat, and environmental toxins.
Is this you? You have been told that you are borderline diabetic, or you had an abnormal glucose tolerance test. You probably have elevated insulin, and you may also have elevated LH (luteinizing hormone). You are probably overweight, although you may be normal weight. Normal-weight insulin resistance can occur in the years following dieting or eating disorder.
Treatment ideas: The first step is to quit sugar. Please also consider gentle intermittent fasting, which works well to improve insulin sensitivity. Best supplements for insulin resistance are magnesium, lipoic acid, inositol, and berberine. The Pill is not a treatment for this type (or any type) of PCOS because it impairs insulin sensitivity. Improvement for Type 1 PCOS is slow and gradual over 6-9 months. Please see my Insulin Resistance post."
National Academy of Hypothyroidism - "Understanding Local Control of Thyroid Hormones: (Deiodinases Function and Activity)"...
"Insulin resistance/diabetes/metabolic syndrome/obesity
As with leptin resistance, it has been shown in numerous studies that insulin resistance, diabetes, or metabolic syndrome have associated significant reduction in T4 to T3 conversion, an intracellular deficiency of T3, and an increased conversion of T4 to reverse T3, further reducing intracellular T3 levels (91,100,92,94,147,184-193,235). Additionally, the elevated insulin will increase D2 activity and suppress TSH levels, further decreasing thyroid levels and making it inappropriate to use the TSH as a reliable marker for tissue thyroid levels in the presence of elevated insulin levels as occurs with obesity, insulin resistance, or type II diabetes (91-99,233)."
Don't forget to get your primary to test for ferritin also. Very important.
With those symptoms and lab test results there is no doubt that Hashi's is the source of your problems. If you cannot get in to see the new doctor any time soon, you might consider getting your current doctor to go ahead and test for Vitamin D, B12, and ferritin, so that you can supplement to optimize to the levels I gave you above.. It would also be a god idea to test for cortisol.
Please keep us posted on your progress.
Instead of spending your money on an online book, as you mentioned in another link, I think you will find most anything you need in the link I gave above.
http://www.thyroiduk.org.uk/tuk/TUK_PDFs/diagnosis_and_treatment_of_hypothyroidism_issue_1.pdf
In preparation for any further doctor visit, I highly recommend the link I gave you above. Unfortunately right now it is not accessible, but is being worked on. I have sent you a PM with some doctor info. To access, just click on your name and then from your personal page, click on messages.