From those test results I'd say that your Free T4 is adequate, but your Free T3 should be higher in the range. Increasing your dosage may accomplish that by increasing both FT4 and FT3, since it seems that your body is converting T4 to T3 adequately. If that doesn't do it for you, you might consider asking the doctor to add some T3 med to get your Free T3 toward the upper end of the range. No need to be concerned about TSH. The body evolved expecting a continual flow of a small amount of thyroid hormone, so when taking a large dose of thyroid med once daily, the TSH becomes suppressed from that. In addition, the majority of hypo patients find that their TSH becomes suppressed when taking adequate doses of thyroid med. Suppression does not mean you are hyper, unless you also have hyper symptoms due to excessive levels of FT4 and FT3.
D and B12 are very important for you. D should be about 50, B12 in the upper end of its range. What are your levels? Also, although usually not considered as a concern for males, ferritin should be about 70. Have you tested for that?
shepard515...Your thyroid labs aren't too bad, but your FT4 is a little above the recommended mid range, at 60% of its range. FT3 is, typically, recommended to be in the upper half to upper third of its range and yours it at 53%... it's possible you could stand to drop back on the T4 med and add a small dose of T3, such as cytomel or its generic counterpart, liothyronine. With your FT3 as high as it is, I doubt you'd need more than 5-10 mcg/day. That might bring your energy level up where you want it.
TSH is totally irrelevant, in spite of the fact that many/most doctors think it's the end all/be all in thyroid testing/treatment. It's a pituitary hormone and neither causes nor alleviates symptoms, nor does it correlate with symptoms.
It, also, looks like your testosterone is way too low in the range and this may be the most important thing. Are you having any other symptoms of low testosterone, such as low libido, muscle wasting, etc?
What is your exact vitamin B-12 level? Vitamin B-12 should be kept at/near the top of its range in order to keep symptoms of deficiency at bay. Fatigue/lack of energy are the prime symptoms of vitamin B-12 deficiency. If you haven't had B-12 tested, you should.
My first thought for your low energy level is your testosterone level being too low, even though it's "in range"; second thought would be to try to increase your FT3 level and the third thing would be the vitamin B-12...
I think it would be important for you to find a way to incorporate DHEA-S. Also, to boost your Free T it would be far better to try the natural route with supplements, rather than gels and injections. You can do some researching on your own, but here is a link to some info on that.
Your low hemoglobin may indicate that you have low ferritin. I suggest that you test and supplement as needed to raise ferritint to 70.
Can you, please, describe what kind of trouble you're having with your stomach, as far as tolerating supplements, etc? Some of us find that we don't have enough acid in our stomach, so things don't sit well, there. I had the same issue for quite some time and I had horrible acid reflux/GERD, plus upset stomach a lot.
Contrary to popular belief, we actually need "more" not less acid. I found that drinking dill pickle juice, vinegar water with a dash of honey, hot water with lemon juice, taking peppermint oil pills or drinking peppermint or ginger tea helped immensely. I eventually began taking Betaine HCL with pepsin, with meals to bring up my acid levels. Once my level got where I needed it, I stopped the Betaine, but I do have to supplement, occasionally, if my acid level goes too low. You can research how to do this.
Another thing you can try is to make sure you get gel caps or liquid supplements, as they seem to be dissolved/absorbed better than pills or capsules. I do have absorption issues, so I've had to experiment with all types of things.
Starting at the smallest doses possible and working up slowly as tolerated might help, as well vs trying to start a therapeutic doses right off the bat. It takes longer to get where you're going, but at least, you get there... This is true with, both, the iron and DHEA, as gimel suggested.
It's best to talk to your doctor, before trying anything new...