TSH is high and fT3 is below mid range. Need to know body temperatures and other things, see my fist post.
"This was doctors recommendation as a result of constant bleeding and terrible cramping during cycle. That seemed to be a great cure for about 4 years."
- might have been managed with progesterone cream.
LH/FSH are elevated and all ovarian hormones are low. Ovaries can't play the game any more.
There is nothing to do now except HRT. You can ask LEF if they can make referrals for your location. LEF can also supply compounded creams if you can get a script.
If thyroid function is low with low body temperatures, the mitochondria in her cells are working slow and not burning fats and sugars. That can lead to insulin resistance and increased cholesterol levels.
With her hormone levels, she is probably also loosing muscle and that is less calories burned and she gains weight.
rT3 is not a problem
IGF-1 indicates that GH levels are getting lower. That contributes to low energy and muscle loss, again contributing to fat gain. Increase fat insulates the body and calorie burn to maintain body temperature again reduces calorie gain.
She needs HRT and thyroid function in good order to gain energy/vitality, loose fat and gain muscle. She can then expect some progress with exercise. Weight/resistance training needs to be part of that as muscle burns calories 24x7.
She should seek out an age management doc. That doc might get her onto GH at some point. She may do well if the other things are fixed.
Get and read this book: Natural Hormone Balance for Women, Uzzi Reiss
He has a book after that which I heard is good but I have not read it.
With HRT, she can get back to a good spot. Mood and libido will be good. Breast pain will resolve when she gets E2 and progesterone right. Vaginal moisture will be restored.
DHEA is a little low. 25mg would be to much and might increase unwanted hair. She would try 12.6mg OED.
5,000iu vit-D3 per day, take 25,000 for first week.
Consider vitamins and fish oil. She can use iron in her vitamins and men should avoid supplemental iron.
Need to know body temperatures and other things, see my fist post.