I have all the classic signs of hypothyroidism but lab results normal. Where to go from here?

I have all the classic signs of hypothyroidism, fatigue, inability to lose weight, dependent edema, dry skin, constipation, always cold and difficulty focusing. I had lab work done doc says its normal(TSH 0.91; T4 6.32; T3 96.38; FT32.68; and FT4 1.05). Do you have any suggestions of where to go from here?

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Ahmed Fawzy
5:20 pm

Next step in my opinion is to investigate you cortisol levels to check for cushing syndrome so I recommend low-dose dexamethasone suppression test or a 24-Hour urine collection to quantitate cortisol levels also check GFR and blood electrolytes
I can be with you for follow up
Good Luck

Ayman Darrag
10:11 pm

Those symptoms can be simply due to anaemia?
Have you done a CBC test?
Other possibilities are diabetes ..
I recommend CBC and cortisol tests also.

2:45 am

thyroid disturbance is just one of the reasons for these symptoms,not the only cause.
you need to get a detailed hormonal check up with complete hemogram,serum electrolytes and vitamin D levels done.
USG abdomen and Chest Xray will help.
start on vitamin D and calcium supplements.