Since you've been diagnosed with a thyroid disorder, an endocrinologist who specializes in thryroid disorder is your best bet on treatment. Some endo's specializes in diabetes, so be sure to ask their specialty area. Most GP's don't know enough about thyroid disorders to give truly good health care.
TSH 4.7 obviously is too high for you to feel your best.
You should strive for a TSH of 1 and see how you feel. Then go from there, either direction to where you might think you'll feel your best.
Your "aching pain", etc. is probably from the goiter. In some cases the goiter will go away on its own, with the help of meds. to bring your level lower. In other cases it gets bigger to where other treatment such as surgery is advised.
If you decide to go to endo. make sure the endo. sees and treats many thyroid patients per year. Most deal in diabetes and know no more than perhaps your original MD.
Good Luck! Hope you feel better soon.
Just my personal opinion and/or experience. Always discuss your health issue with your doctor , always adhere to your doctors advise and, you always have the right to a second opinion. Nothing is a 100% or a 100%, 100% of the time. However, we are not all alike!
GL,
1990 - Hyper/Graves'
1997 - Dia/RAI
1997 - MVP - Mitral Valve Prolapse
1999 - TED - slight Thyroid Eye Disease
1999 - Visible Nodule (suspect Marine-Lenhart-Syndrom/hyperfunctioning nodule)
2000 - SAS - Short Attention Span (short, spaced paragraphs, sweet and to the point helps)
2002 - IED - Intermittent Explosive Disorder (Graves' Range)
2007 - A/ITP (suspect)
Welcome to our amazing little club.
Please *do* find an endocrinologist who specializes in thyroid disorders.
Some thyroids can grow substernal (there are a few on this forum who have been through it) and could be causing the pain you are talking about. You need an ultrasound, a complete thyroid panel, and maybe a nuclear scan.
Being hypo can REALLY bring on the depression symptoms - so can getting a diagnosis like you have. Please talk to your doctor about your depression. Many (probably MOST) of us on this forum for our thyroid problems are also on antidepressants.
It's okay to ask for help - from your doctors and from us!!!