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I went to my GP a few months ago prepared to finally inform her of all the things I felt were going on/wrong with me. I let her know that I felt that I had IBS-D (she agreed), PCOS (she stated it "didn't really matter", major depression and generalized anxiety (she agreed). I am currently 23, and I brought up PCOS because it runs in my family and I had mentioned to my mom that my hair was falling out quite a bit. She told me to ask about PCOS, and given my painful periods and an incident where we think a cyst may have burst, I decided to ask. My GP felt it didn't really matter whether I had it or not unless I was planning on children, so that was the end of that. I did not discuss any symptoms there.
Due to my mentioning my depression, she stated that although I was too young for her to want to normally run blood tests, she would do it just to make sure my thyroid was working, while also starting me on an anti-depressant. I thought nothing else of it, as I've never read up on thyroid disease or issues and had attributed many of my symptoms to depression and anxiety. I have a mental health background, so it made sense to me that my severe fatigue and other symptoms would be related to this.
When my blood tests came back, I had a TSH level of 5.1 and a Free T4 of .69. She stated that this meant my thryoid function was "borderline" and that she would want to retest in a year. However, I went in for a follow up on my anti-depressant about a month after this and decided that I would ask if we could try a trial treatment. After reading up on the symptoms, I realized that these felt very much like me. I have been incredibly depressed, have gained nearly 50 pounds in only a handful of years, and have been so fatigued that I struggle to get out of bed and do things in a very literal sense beyond my low motivation caused by depression. I have thin hair that falls out frequently and very brittle nails. After reading up, I felt that a trial might be worth it.
My GP did not feel the same. She stated that she would retest my blood today, but that she wanted to wait on treatment, because it could contribute to osteoporosis or make my anxiety worse. When my results came back, my TSH was 8.2 and my Free T4 was .72. At this point, she stated that "most likely" my thyroid would fail "over time" and that I would then need thyroid treatment and that she wanted to retest in six months.
At this point, I was feeling incredibly - stupid? but also upset about this. I didn't want to question her knowledge on the subject, but I felt like my concerns were being dismissed. So, I responded and informed her that I was still seriously struggling, in particular with my fatigue, and that I did not know how to deal with the symptoms until she decided treatment was appropriate. She decided to up my anti-depressant dose, but essentially repeated her earlier comments about osteoporosis and dismissed me with, "It is not appropriate to use thyroid hormone when it is not indicated as it can cause other problems." At this point, I felt even worse. While I know that some of the symptoms I communicated to her were definintely me needing to up my anti-depressant dosage (something that I did tell her in my message), even when my earlier dosage was working, it did not treat some of my core concerns (particularly the fatigue/exhaustion). Her responses have made me feel ignorant and pushy, and while I am not a fan of self-diagnosis or trying to use the internet to determine what's going on, I feel like it cannot seriously be this worthy of dismissal?
From what I have read, I am clearly symptomatic and my blood tests indicate at least subclinical hypothyroidism. I also have no idea why my thyroid is "probably" failing or if there is a reason behind it? I feel lost here. My best friend has recommended I get a second opinion, but I struggle so much with going to the doctor in the first place and given my doctor's response to my questions, I'm concerned with how a request for a second opinion would even be received. I'm really sorry to go on so much, but no one other than my best friend really knows what's going on, and I have no idea what to do or how to feel about my results. I feel like I am somehow lying or making this all up and that my symptoms are just my being lazy, but at the same time I know that in reality that's not the case. I just don't know what to do here.
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