Hi, sorry in advance if this is boring but I just need to rant somewhere where people might understand. I don't expect advice, it's a tricky medical situation, I just need to scream into the void. 39F UK, if it matters.
Over the past few months I have been bone-tired. Daily function is massively reduced, I can't walk or stand for long periods because it tires me out. I've been taking 5 hour naps if left unsupervised. Also hair loss, weight gain, struggling to lose any weight unless I drop to about 500kcal a day. Strong family history of hypothyroidism and autoimmune disease. Due to all this, GP checks my thyroid 3 weeks ago, along with some other tests.
TSH 5.89, Free T4 9.1, T3 not tested. Positive AnA with 1:320 titre and homogeneous pattern. B12 and vit D both perfect, no worries there. Iron is another story but we'll come to that later. GP says I have subclinical hypothyroidism and agrees to retest whilst adding TPO antibodies, says if TSH comes back above 5 again she'll trial me on levothyroxine. Doesn't seem the slightest bit concerned about the AnA.
Those results come back today - TSH now 3.34 (didn't test FT4 due to this) but 89ui/mL on the TPO. Didn't give me a ref range, but clearly marked on my file as abnormal, so likely Hashimotos. But seeing as I don't have two raised TSH results yet, levo trial is now off the table until ny TSH decides to raise itself again, whenever that may be.
Onto the iron: Ferritin 25, TSAT 63%. I can't supplement iron due to non-penentrant haemochromatosis phenotype (C282Y homozygous) so my low iron could also be causing my fatigue and hair loss but with my genetics it's not as simple as "give her iron pills and she'll be fine." I also know that thyroid function is affected by ferritin levels.
It's so frustrating to have three things that could be making me feel like I'm genuinely dying, but two can't/won't be treated any time soon, and as for the positive AnA, my GP seems reluctant to investigate further. I'm sat here feeling like death warmed up, yet I can't have levo because my labs are seemingly okay, and I can't have iron in case my wonky genes decide to hoard it and try to kill me off. I am so tired of being tired. I want my life back! I'm so exhausted that the only place I go now is to the GP, because I don't have the energy to do anything remotely social.
TLDR; sorry, just venting. Possible Hashimotos, subclinical hypothyroidism with borderline TSH means I can't get levo just yet. Low ferritin but stupid genes mean I can't supplement. Unknown potential autoimmune condition the doctor doesn't care about. Tired girl absolutely crashing out 🙃