My TSH level has been “high” as long as I can remember being tested. My most recent result was 14 (normal range .49 - 4.67) up from 11 after being on 50mcg Synthroid for 3 months. My rheumatologist said that I could try the Synthroid if I wanted but did not seem very concerned at all since all of my other thyroid numbers including my antibodies have always been normal. I really trust this doctor because he has treated my rheumatoid arthritis so well, but it bothers me that he doesn’t seem concerned with my high TSH when I am also so fatigued.
I go out of my way to make sure I am hitting around maintenance calories and high protein macros most days. I train consistently and try not to overshoot RPE too much, but lately the fatigue has been interfering with my training and everything else in my life. I can sleep for 10-12 hours and not feel rested and basically feel like a zombie throughout the day. Sometimes I dismiss my fatigue as just part of my RA, but it is getting to the point where I feel like it is affecting the quality of my life too much. Is it reasonable that my doctor does not seem too concerned with a high TSH when the other numbers are normal? Perhaps I could seek a specialist? I try not to go to the internet for too much medical information, but this has been on my mind and since it is affecting my training I figured I would post here. Thanks so much for reading and for any feedback.