get a manicure every two week's it will help i do my own and they are much better it will take about six month to a year but i will work
Post your FT4 and FT3 levels. How much Synthroid are you taking? You may need more Synthroid or some T3 like Cytomel added to your Synthroid. You still sound hypothyroid.
Also, has this doctor checked your adrenals with the 24 hour saliva test? Many hypos will have adrenal fatigue, which will also cause us to be tired. I am feeling MUCH better since starting adrenal cream.
BTW - Why are you on thyroid hormone? Hashimoto's Disease?