I am also ALWAYS tired!
I sleep 9hrs a night. Roughly 10hrs on weekends, plus 1-2hr nap in the afternoon if i can. I have been like this my whole life, however it has gotten worse in the past months.
What was the exact level of your T4 when it was tested? And was it a Free T4 or Total T4? They aren't the same test. Also, what was the reference range? Ranges vary lab to lab and have to come from your own report. Was there also a T3 test done? Did you have any thyroid antibody tests done?
If you didn't have thyroid antibody tests done, you should get them. You could have either Graves Disease, which is an autoimmune disease associates with hyperthyroidism or Hashimoto's Thyroiditis. Hashimoto's is most often associated with hypothyroidism, but is often characterized by periods of hyperthyroidism in the early stages.
To diagnose Hashimoto's, you need Thyroid Peroxidase Antibodies (TPOab) and Thyroglobulin Antibodies (TgAb). You need them both, because both are markers for Hashimoto's and some of us have one or the other, while some have both. Thyroid Stimulating Immunoglobulin (TSI) is the definitive test to diagnose Graves Disease.
Due to the fatigue, get a vitamin B-12 test, as well. Vitamin B-12 deficiency can cause the most astounding fatigue you've ever known. Also get Vitamin D tested. Low vitamin D can cause a lot of the aches/pains.
Because of your joint and other pain, you might want to have an ANA (Anti-Nuclear Antibody) test. This would indicate whether there might be other autoimmune diseases, such as lupus, MS, etc present. If an RA factor only came back as "unlikely", you might want to have it repeated; it should be either negative or positive. I have to question the person who interpreted it.
Autoimmune diseases tend to run in families, but not each family member gets the same disease. For instance, in my family, I have Hashimoto's and Pernicious Anemia, my son has Type I diabetes and my daughter has Lupus.
I'd recommend all the thyroid testing: TSH, Free T3, Free T4 (be sure to specify FREE), TPOab, TgAb, TSI and Vitamins B-12 and D, first. It's very possible that the explanation to the way you feel lies in there, even if some of the results fall within the so-called normal limits - with thyroid, "normal" isn't necessarily "good".
Once you get all those tests, be sure to get copies and you can post the results. We can help you interpret them, so you can go from there.
Ehlers Danlos syndrome causes joint hypermobility and loose/unstable joints. If you have this condition you are at risk of Arnold Chiari Malformation due to instabilities of the craniocervical junction. If your traditional MRI picked up nothing it doesn't rule out this condition as you can have borderline or Chiari 0. The symptoms and prognosis is nothing to do with the size of herniation but cerebrospinal fluid (CSF) flow. A CINE MRI is a special MRI study used to observe cerebrospinal fluid flow. Just something to consider.
List Of Chiari Symptoms:
Hi, I can't help toward a diagnosis, but as to the symptoms. CoQ10 200mg will help with the chest pain. And Magnesium at night will help your body to process the extra stress of your condition. you can start at 150mg and go up to about 600mg.