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I am 20 years old and have dealt with hypothryoid-type symptoms for the past 3 years. Symptoms started appearing about a 6 months to a year after a series a very bad nose bleeds so Ive always felt that my problems stemmed from these nose bleeds. My symptoms include imparied cognitive ability (concentration/focus/memory/foggyness), dry skin, sensitive to cold weather, inability to gain weight/muscle mass, brittle hair, heart palpatations, sensitivity to light, and knee/joint pain (diagnosed tendonosis), and some other symptoms. Over the past six months, I have tried to figure out what is wrong with me because originally I didnt percieve these symptoms as a problems. When I told the doctor about my symptoms, particularly the cognitive issues, he recommended I got so a psychologists for ADHD analysis.

Well, since then I havent bothered with my GP because of frustration and have had several blood tests to hopes of finding something. Initially, I didnt suspect or know about hypothryoidism. Ive had my tesosterone and IGF levels checked and both came back normal, although testosterone was alittle low. Lately, after looking at possible underlying causes of dementia, Ive read about hypothryoidism and can really relate to most if not all of the symptoms I read about. However, my TSH has been checked with all of my other blood work because I assume it is protocol these days. It came back at 1.5 which seems to be optimal. There is, however, other descrepancies in my blood work. My Neutrophil % is low, Lympocyte % high, low HDL (24, 19, 30, respectivley) and a high bilirubin count which my doctor called Gilbert Syndrome.

Should I get my free t3 and free t4 levels checked or is TSH pretty realiable for diagnosing hypothryroidism? Any suggestions are appreciated

Yes, you should have the T3, Free T3, T4, Free T4 tests done. Sometimes a thyroid problem can still occur even in spite of a normal TSH level.

I would recommend getting an opinion from a hormone specialist called an endocrinologist as well to see what they think could be going on.

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