My free t4 comes in low while my tsh is normal. The initial set of antibody tests have all come back normal as well. I maintain a diet of 1300 calories or less each day, I swim for an hour, I get on the elliptical for 30- 40 min. I?m average on activity but very careful to stay away from carbs yet when I implemented the hour of pool time, while thinking I would lose weight, instead I gained 9 pounds in approximately 2 weeks. I have 3 nodules under 1 cm on my thyroid. My endocrinologist took the first set of labs and said to get off my biotin for 2 weeks so she could retest. Apparently the free t4 was slightly higher but still low and not within normal range. My 2 cousins have thyroid issues and one needed to have her thyroid partially removed. I think something isn?t right but, the Dr. said she will check back in with me in 6 months to see how my nodules are doing. She blames the labs being off a possible lab discrepancy on the ranges. I had a blood test before that at my ob where my free t4 was also showing low. She advised this would be reviewed for trends, but I feel like nothing really will be done. My cousin who has hypothyroid said to make a list of all my oddities and things i?ve noticed. Here it is. Any guesses at what may be wrong beside the fact i?m overweight but have no appetite? I feel like she looks at me now and does?t realize at all what I was like and how suddenly this came about. Any suggestions? I?m at a lose and with the fatigue and countless other issues, I just don?t know what do do or who may actually take the time to help. - [ ] high cholesterol even when I was 100 lbs (since teens) - [ ] always cold - very hard to get warm - [ ] recurrent sinus infections - [ ] fatigue that does?t go away regardless of any amount of sleep I have - [ ] joint pain - [ ] get really sick with colds - [ ] unexplained knee swelling and pain - crutches for a month (6 years ago - xray showed no issue) - [ ] insomnia (about 7 years) - [ ] after accident 7 years ago thyroid comment - appeared large in x-ray - had a Dr. ever mentioned? - [ ] swine flu - [ ] vitamin d deficiency (until recently) - [ ] anemic (until recently) - [ ] brittle nails - won?t grow - [ ] dry skin - [ ] feel puffy around face and eyes usually. - [ ] no appetite - [ ] always feel need to swallow and it?s gotten worse the last couple weeks - [ ] hand tingles - [ ] aches in muscles - [ ] foot cramps - [ ] after prednisone (post swine flu) - unexplained pain like fire shooting up my calves making it unbearable to walk for almost 6 months. Had to use scooter at stores. Told it was water retention - edema calves, feet, arms, face. - [ ] sudden weight gain after this incident. From a size 0 to where I am in 2-3 months. No matter what I do - it will not come off. I popped back from both pregnancies immediately. - [ ] seldom but sudden feeling of deflation - coolness around face (i feel good sometimes) I felt this after a round of corticosteroid shot briefly - [ ] tennis elbow - Dr. said prob water retention - [ ] Dr. zag referred me to psychiatrist for depression/ psyc felt it was add - [ ] no weight loss staying at 1300 cals (approx 2-3 years) - [ ] neck pain - feels swollen from front - [ ] hoarse voice often - [ ] tightness with swallowing - no other cold related symptoms - [ ] recurrent urticaria with fever - one Dr. said it was a man of war bite, another sunburn that I rubbed lemon on, another allergies 2-3 years - [ ] heavy periods over 2-3 years constant spotting / this ended with natazia (started last month) gyn recommenced ablation - [ ] advised by Dr. zag blood test results showed ?borderline lupus? - [ ] 3 cousins say they have hypothyroid. One briefly mentioned an operation to one side - [ ] 2 of 5 aunts on mother?s side have thyroid issues. No specifics. - [ ] dad had lyphodema - [ ] rarely have an appetite - [ ] keto didn?t help with weight but helps somewhat with the inflammatory feeling - [ ] even killing myself with exercise makes no difference - [ ] I can juice for a week without losing weight - [ ] constipation - [ ] major pain in shoulders - I do weights, stretches, and have done the physical therapy I did after accident and it?s only gotten worse - [ ] fast weight gain initially - [ ] sudden weight gain over the past couple weeks of 5 pounds despite adding another hour to my workout which is now an hour and 45 minutes - [ ] sudden onset of snoring (feel no more fatigued than the usual) - [ ] waking up early for no reason.