Have they discussed doing an MRI to see if there is anything structurally affecting your pituitary or hypothalamus (cyst, lesion, etc.)??
I would think your experience of dealing with Narcolepsy, which is awful by the way, should be the primary concern here. I’m thinking that issue, and the med you’re on for it, is what’s making you not feel well (JMT). With that said, personally, I think it’s the neurologist who needs to be reconsidered here.
Also, I’m somewhat familiar with Narcolepsy and know it’s in no way a mental health issue. Any dr suggesting so also needs to be reconsidered.
Because you had a TT, and because there could be other issues arise for you in that area, I would stick with seeing a clinical endocrinologist. They are the ones, among drs, who have the broadest licensing to order needed testing for thyroid disease.
One other thing, don’t forget that taking more thyroid medication, if not absolutely necessary, can bring about its own set of problems too.
I wish you well.
not sure i can offer any advice but i feel horrible for you! Yes it would seem you are hypo according to your free t4 result....yes i agree you should have a Free T3 done. Your free t4 didn't even make it into the low normal range....geesh! I think you should continue your search for a new dr....maybe not an endo but maybe an internal med dr or someone who SPECIALIZES in thyroid specifically....someone who thinks outside of the box. Don't give up!