Is my TSH fluctuation normal?

[EmiilySmiith]

I've only had my TSH checked. Below I've typed my results of those tests. I have never had a Free T3 or T4 done but let me just say that I feel AWFUL almost every day of my life.

I can't lose weight for the life of me and some days death seems a more pleasant thought that what I feel like. I've been diagnosed with PCOS (Polycystic Ovarian Syndrome) so I can never tell if it's that or something else but I need help...

I need answers and a community that can point me in the right direction. Doctor's put me off, think I'm a hypochondriac, or that I'm "too young to experience these issues".

I'm a 27 year old woman and I'm well aware that these are real life issues that anyone can have at any age...

With that being said; are these fluctuations normal? Or could it be something more?

Any thoughts, comments, or recommendations are GREATLY appreciated. Thank you for listening.

06-14-2019 (TSH 1.330)
08-12-2021 (TSH 1.080)
05-03-2022 (TSH 4.750)
06-04-2022 (TSH 2.210)

[gimel]

Hi Emily.  You will find a lot of knowledgeable and willing helpers here.  First thing to understand is that TSH is a pituitary hormone that is affected by numerous variables.  Even the ATA/AACE Guidelines for Hypothyroidism recognize a lot of variability in TSH testing over the day and even in sequential samples.   TSH is only useful to identify overt primary hypothyroidism, which overlooks all other types.    The most important indicator of a person's thyroid status is an evaluation for symptoms typical of hypothyroidism.  There are many of those, but the following link lists the most common.  Please start by reviewing the list and telling us which ones you have.  

https://www.mayoclinic.org/diseases-conditions/hypothyroidism/symptoms-causes/syc-20350284

Next in importance e are tests for the active thyroid hormones, Free T4 and Free T3, not Total T4 and Total t3.   You  also need to test for Vitamin D, B12 and ferritin.   Do you think you could get those 5 tests  done?