Hoshimoto's or Adrenal Fatigue or Both??

[Hoshimotonomo]

Here is what I have, not that I know what any of this means! Endocrinologist just said you have Hoshimoto's and will need to have blood drawn every 6 weeks and take vitamin D liquid and stay off caffeine! He explained nothing and certainly does not understand I AM TOTALLY EXHAUSTED 24x7! I may sleep 17 hours some days! Also to note, I have always had optimal blood pressure, but in past few years it has skyrocketed to over 219/105 and sometimes higher out of nowhere. Heart races at times, numbness and tingling in hands and feet, profuse sweating at times, contipation and bloating beyond belief! Age:38

thyroglobulin 25.3
testosterone free 69.3 (urine I believe)
Free testosterone (blood) 5.92
Testosterone 282
Free T4 0.9
Dehydroepiandrosterone 465
Vitamin D status 25-OH
Cortisol 18.2
B12 635  (taking supllements as this has been way low on previous blood tests)
Prolactin 4.29
Human Sex Hormone binding globulin 18
Anti-thyroid Peroxidase Antibody <10
Estrone 21
Transferrin (mg/dl) 268
Iron 86
LDH (U/L) 163
Methylmalonic Acid 0.17
Direct TIBC 387
Transferrin Saturation % 22
Insulin like growth factor1= 260
MTFR (C677T)= C/T Intermediate Risk
MTHFR (A1298C)= A/C Intermediate Risk
CYP2C19*17= *1/*17 Intermediate Risk

[rumpled]

Without ranges, hard to tell anything as every lab differs.

That being said, vitamin D treats low D, but not thyroid, so why not treat the thyroid?

If you have low adrenals, your BP would be low typically and sodium and potassium would be abnormal. I don't follow the "fatigue" school, they can be sick, but your body is built for life, so if adrenals get tired, why not heart, lungs or ...?

Some people metabolize caffeine fast, some slow, and that is genetic. Not sure why you have to be off it. Unless you drank pots a day?

[rumpled]

I don't follow the fatigue school.
What is the range on the I  gif-1? That seems high? Without ranges, it is pretty hard to tell where you stand as lans differ so much.

With the crazy BP, why not test you for a pheo or how about your renin or aldosterone?