Your TPOab is elevated, which indicates Hashi's.
FT4 is on the low side. It's 30% of range, and it should be closer to 50%. Total T4 is considered an obsolete test and pretty much a waste of money. Your doctor didn't test FT3.
I think you need a second opinion as well. With elevated TPOab, it's obvious something is going on.
How do you feel?
Contact Barb135 regarding a doctor in central FL.
I have symptoms such as fatigue, muscle twitching, fingers and feet tingling, weight gain, pain in my hands/fingers/forearms, plantar fasciitis, and no energy. No he didn't test for free T3. I'm waiting for a response from Barb 135.
Thank you.
Definitely, get a second opinion...