I'm a 31yo female, had a TT in April due to a obstructive nodules and an enlarged thyroid. I have a number of symptoms including extreme fatigue and weakness, muscle weakness and pain, joint swelling and pain, problems sleeping (probably only average about 3-4 hours a night, I tend to wake up after the first few hours and then wake up every 20 minutes or so), complete exhaustion even if I DO get a decent night of sleep, weight gain, GERD, fluid retention, brain fog, confusion, memory loss/problems, heavy and painful periods, anxiety/depression/irritability/mood swings, nausea, vertigo, easy bruising, migraines, stiffness, lower back pain and back aches, complete loss of my ability to handle stress, and very frequent urination (usually between 13-17 times a day, sometimes at night I'm up 3-4 times, and it's usually more frequent if I'm sitting for work or laying down sleeping). Symptoms have been persistent and getting worse for about two years. Obviously hypothyroid from the lack of a thyroid, but the meds (112mg Levothyroxine) keep me in "range." I'm starting to really suspect some sort of adrenal issue.
Here are some of my labs, done last week:
Free T3 - 2.9 (Range 2.9 - 4.2)
Free T4 - 1.12 (Range 0.76 - 1.46)
TSH - 1.910 (Range 0.358 - 3.740)
Ferritin - 7 (Range 8 - 252 ng/mL)
C-Reactive Protein - 14.1 (Range 0.0 -2.9mg/L)
Vit D - 37.50 (Range 30 - 100 ng/mL)
Vit B12 - 404 (Range 193 - 986)
ACTH, Plasma - 12 (Range 6-50pg/mL)
Free Cortisol, Serum (Tested @ 10AM) - 0.96 (Range: 0.07 - 0.93 mcg/dL 8:00-10:00AM, 0.04 - 0.45 mcg/dL 4:00-6:00PM)
Had a whole bunch done but those were the ones I thought were most significant. Doctor called and said other than being slightly anemic and needing an OTC iron supplement, everything looked okay. I've heard from people on these boards that my T3, vit D and vit B12 are too low and I'm definitely going to work to improve those. But should I be pursuing the adrenal route?