Given your symptoms, there are a few potential causes that might be contributing to the issues you’re experiencing. First, let’s address the drowsiness. Since your thyroid was removed, you are likely on levothyroxine or another thyroid hormone replacement. An elevated TSH level, despite a normal Free T4, suggests that your current dose may be insufficient, potentially causing symptoms of hypothyroidism like fatigue or drowsiness. It’s important to discuss with your healthcare provider the adjustment of your medication dosage to bring your TSH levels within the optimal range.
The numbness in your toes could originate from several causes. It might be associated with peripheral neuropathy, which could be a result of vitamin deficiencies, vascular issues, or other conditions like hypothyroidism itself. You mentioned planning to check vitamin B12, B9, and folate levels, which is definitely a good step. Deficiencies in these vitamins can cause neuropathic symptoms, so supplementation might be required if your levels are low.
Cold feet and broken capillaries could point toward circulatory issues. The purpura on the arms as a result of exertion or sun exposure raises the possibility of capillary fragility, which can sometimes be related to aging skin, medication effects, or vascular health. Ensuring proper blood circulation through regular physical activity and possibly consulting a vascular specialist for any underlying issues might be beneficial.
If adjustments in your thyroid medication and addressing vitamin deficiencies do not alleviate your symptoms, further evaluation by your health care professional would be appropriate. This could involve a closer look at your vascular and neurological health, and potentially consulting specialists in these fields. Being proactive about these conditions can help in managing them effectively, so continue to work with your healthcare team to investigate these symptoms more thoroughly.
