You are taking this?
Long term intake of any drug that contains bromine is dangerous as bromines accumulate in the body, displacing and replacing iodine. High dose iodine can be used to displace and excrete iodine. If large amounts of bromine are displaced, one can have a foul smell and not feel well as serum bromine levels are high during this time. Thyroid function can be impaired by bromines.
CBC looks great. Cholesterol is good.
E2 does not explain gyno.
Prolactin might be a factor with is and low LH/FSH and T.
Low T explains low E2.
TSH is too high, should be closer to 1.0
fT4 is good at mid-range, could be a bit higher.
fT3 is below mid-range and explains your low body temperatures. However, rT3=29.9 isbe a factor and that would involve stress and the adrenals. DHEA is also made in the adrenals.
In the thyroid basics explained thread, find references to:
stress, accidents, illnesses, infections, inflammation
AM cortisol=10 would be lower acceptable. What time of day were these labs done?
Your fatigue is mostly rooted in your thyroid function which is low by body temperatures and compromised by adrenals and rT3. Your cortisol levels may also be low. Training when dealing with these problems is a stress that can make things worse or prevent recovery.
Your focus needs to be on:
- thyroid and adrenal issues. T may recover a bit.
- prolactin and probable adinoma
How much iodine now and for how long? What was iodine source before?
Your details above suggest that you have never been fully virilized. So T levels have never been great. Prolactin is part of this. You need to have a MRI to see if a prolactin secreting pituitary adinoma is there. You do not want that getting large as it would press on the optic nerves. One sign would be a reduction in width of peripheral vision. This can be manages, whether a adinoma can be imaged or not, with 0.5mg/week Dostinex/cabergoline. That will lower prolactin and raise dopamine, which may resolve a level of depression and loss of reward in things that you do. Prolactin can also directly contribute to breast tissue growth. Often these problems are present from an earlier age.