I have both Hashimoto's and ADHD. For the ADHD I take stimulant meds. I also take 1mg of LDN every day along with 200mg of selenium. This has helped knock my TPO antibodies to a normal range over the last 3 years or so. I am not currently on any synthetic thyroid meds. I also do immunotherapy shots for allergies.

Lately I have been experiencing an increase in daytime fatigue and brain fog that are getting thru my ADHD meds. I have even been needing to have a cup of coffee or something caffeinated to get the same level of alertness I was having a few months ago. As far as I know, I am getting adequate sleep, and my life has not been stressful. The only change is a daily regime of Valtrex for cold sore prevention. I did just have my labs pulled, and everything was not only in range, but optimal, as far as I am aware. I'll post results below and let you people of reddit have a look-see. I also had a metabolic panel pulled, which was all normal. And also, a routine STD panel pulled, as I am sexually active.

The only thing I could think of, if it's not my thyroid messing with me, is that I showed positive for mycoplasma and ureaplasma in both blood and urine samples. Although, Dr. Google, does not seem to show fatigue as a common symptom for this.

Here are my most current thyroid lab results pulled on 8/4/21:

Free T3= 3.5 (Ref: 2.0-4.4 pg/mL) (Down .81 from last pull in Aug of 2020)

Free T4= 1.53 (Ref: .82-1.77 ng/dL) (exact same as last pull)

TSH= 2.63 (Ref: .45-4.500 UIU/mL) ( Up .43 )

TPO-A= 27 (Ref: 0-34 IU/mL) ( Down 17.9 )

Is there anything about my labs that could still be contributing? Or could it be other lifestyle factors I might look into and ask my doctor about?

​

Edit:

To add previous labs, if helpful.

​

8/6/21:
TSH= 2.20 (Ref: 0.47-4.68 (mcIntlUnit/mL) )

T4 Free= 1.53 (Ref: 0.78-2.19 (ng/dL) )

T3 Free= 4.31 (Ref: 2.77-5.27 (pg/mL) )

TPO A= 44.9 (Ref: 0.0-9.0 (IntlUnit/mL) )

​

11/8/2019:

TSH= 3.690.47-4.68 (mcIntlUnit/mL)

T4 Free= 1.35

T3 Free= 3.79

TPO A= 60.3

Note: Started LDN around this point

7/29/19:
TSH= 1.74

T4 Free= 1.39

T3 Free 3.96

TPO A= Not pulled

​

11/19/18:

TSH= Not Pulled ( A health fair test result pulled me as 4.5 which prompted her to pull the others. However, my labs are always lower at the doctor's office than they are at the health fair)

T4 Free= 1.26

T3 Free= 3.30

TPO A= 84.9

Note: Started 200mg Selenium daily at this point.

​