Hi guys. I’m a 27 yr old female who recently got diagnosed with Hashimotos. I don’t know how long I’ve actually had it, as I was without a primary care provider and didn’t have regular medical FU. I have ADHD, depression, anxiety, and psoriasis and am on concerta, Effexor, Quetiapine, and amitriptyline for my ADHD/mental health, and also for insomnia and migraines. I additionally take a Skyrizi injection every few weeks for my psoriasis. I recently got bloodwork done for the first time in several years as I was feeling increased depression and severe fatigue. At baseline, I have always been a tired person and I just assumed it was mental health related and related to my ADHD med wearing off. I was only diagnosed with ADHD this year as well so when I recently went to my physician to discuss my symptoms and he added a second lower dose of my concerta to take at noon. I got bloodwork to check my levels and my TSH came back as 107 and my TPO came back as greater than 1000. I am now on 100 mcg of Levothyroxine as a starting dose, with my next set of lab results scheduled in 18 days. My present symptoms include continued fatigue, and increased depression, brain fog, weight gain, and today I’m feeling a lot of joint pains in my arms. Although I am glad to have gotten a diagnosis and things make more sense, I’ve been really down about my health. I work a very stressful job in the helping profession and I know that I should be taking time off, but I have strict timelines with my line of work, we’ve had an increase of client files, and I keep telling myself I just need to get through the day and can rest after work. I feel so tired throughout the day that I normally rest during my lunch break and additionally after work, either right after or in the evening after supper. When I say rest, sometimes I actually nap and other times I can’t fall asleep and just lay there, but either way I am lying down and not occupied with anything else. On top of this I’m having to have caffeine to keep myself going. I’ve gained weight which has been an added trigger, as I have a history with low self esteem and an ED. I used to spend my lunch breaks taking my dog for a walk and go for an evening 30 minute walk daily. Now I take a short 10 minute walk in the afternoon and if I’m lucky another 15-20 minute walk in the evening. Sometimes I don’t even have the energy to do that. On top of my job I have to keep up with my household and yesterday for the first time I forced myself to rest and stop doing housework mid task as I just couldn’t complete it. I have a supportive partner (although prior to diagnosis she used to jokingly make fun of how much I slept) who stepped in and took on an extra task for me. I feel in a rut that I either listen to my body and rest and feel like I’m in an endless loop of resting then working or I stay awake and limit my rest and feel sluggish while doing my activities I enjoy (reading, watching tv, playing switch, diamond painting etc.) I keep to hanging with my friends on the weekends as I just don’t have the energy throughout the work week. Everything feels like a chore now, including responding to texts, actual chores, going for walks, etc. I’m considering letting my boss know tomorrow what’s been going on not for the reason of necessarily taking time off right now (I’m not even sure how that would be possible realistically with my line of work), but rather to let them know of my situation and that I may be taking a day off here and there once this wave of increased volume of work slows down. I know even typing this that it sounds ridiculous and that my health is priority, but I’m just trying to take things day by day and get through it the best I can. I’m just reaching out to seek support and maybe even for some hope that things will get better by hearing other people’s stories and maybe advice. I know it will take time with the meds and will need regular monitoring and continued bloodwork to monitor my levels (which is another stressor as I hate bloodwork). Thanks in advance for any and all insight. I hope you are having a good day ♡