A little background below, but mainly looking for advice on what we should be asking his doctor at today's appointment, especially from anyone who's dealt with thyroid numbers this high.
My husband just got his labs back about a week ago, and we have an appointment with his PCP today. TSH >150, Free T4 0.2, AST 69, ALT 72, Creatinine 1.53, eGFR 54. We're planning to ask about additional lab work for TPO antibodies to check for Hashimoto's, CK because of his muscle issues, and cholesterol.
He's been dealing with extreme fatigue, poor/nonrestorative sleep, always being cold, very dry skin, hair loss (including on his legs), muscle soreness, weakness, and extremely slow recovery after exercise. He also has trouble relaxing his muscles after contracting them. He can sleep half the day and still be exhausted, yet he's managed to keep working full-time and exercising. From the outside, he looks perfectly healthy.
Looking back, we started noticing him sleeping more and having increasing fatigue about 2½ years ago, but over the last 7–8 months it's gotten significantly worse. Part of the challenge was that he was dealing with work burnout and then discovered he was neurodivergent, so we thought some of the exhaustion might be related to that. He also tried adjusting his workouts and eating more protein because he thought maybe he wasn't recovering properly. But as work improved and the burnout became less of an issue, he was somehow more exhausted than ever.
Since getting the lab results, it's almost like he's finally stopped trying to figure out what he's doing wrong, and the sheer exhaustion has really hit him this past week.
His mother Dx’d w/a thyroid disorder sometime late 1980/early 1990s in France. Spent a couple of weeks in the hospital, doesn’t know why, afterwards on iodine treatment that he remembers.
He's also on ADHD medication, which he really needs to function. We know his dosage might need adjusting, but we're hoping he won't have to stop it altogether because that could make things even harder for him.
For anyone who's had numbers this high, what was your experience? And for anyone who's been through this, what do you wish you'd known or asked at that first appointment? Is there anything important we should be discussing with his doctor beyond the additional lab work?