Sorry for the reason you're here but, glad you found us.
First off, I only know thyroid stuff so, will defer to others in regards to your "non-thyroid" bloodwork.
I can tell that you had adrenal testing done - mkgbrook on here is very well-versed on adrenal issues. She's not always on here but, searching old threads of hers might prove helpful.
OK...one more comment before I comment on your thyroid labs
Please know that thyroid textbooks confirm that each of us has his/her own "setpoints". These are optimal thyroid hormone levels that meet the individual's specific needs.
Also, those same textbooks indicate that most healthy people have FreeT4 levels towards the higher end of the range....and FreeT3 levels above mid-range.
Unfortunately, based upon my experience and that of countless other thyroid forum members, it seems that most of the doctors we've seen were sleeping during thyroid class.
*But* there are doctors out there that "get thyroid" and it seems you might have found one.
OK..onto your thyroid labs:
I'll cover the easier ones first.
THY PER AB - <10 (Less than 35)
THY GLOB AB - <20 (Less than 20)
These are antibody tests for the antibodies most commonly seen in Hashimoto's thyroiditis, an autoimmune disorder that is the most common cause of hypothyroidism (the others being either medicine-induced or a rare pituitary disorder).
Just because you are currently testing negative for Hashi's doesn't mean you don't have it. Many people test negative for the antibodies. The only definitive test for Hashi's is biopsy. Since hypothyroidism is treated the same, regardless of cause, there's no need for biopsy. Hashi's might be evident if you have any nodules that get FNA'd....or a thyroid ultrasound reveals the cellular changes seen in Hashi's.
Now the thyroid function tests....
Reverse T3 was HIGH - 35 (11-32)
TSH - 0.95 (0.40-4.50)
Free T3 - 3.4 (2.3-4.2)
Free T4 - 1.3 (0.8-1.8)
You are a perfect example of the people endo Dr. Ken Blanchard writes about in his book "What Your Doctor May Not Tell You About Hypothyroidism".....suffering with raging hypothyroidism while having "normal" (aka in-range) labs.
However, if you think about the thyroid textbook concepts I shared with you, two things should be clear to you: 1. your levels aren't at YOUR setpoints because you are having obvious hypothyroidism symptoms and, 2. your FreeT4 level is smack at mid-range when most healthy people would have a FreeT4 level much higher and your FreeT3 level is just above mid-range (but is obviously too low for you)
Your rT3 is high because your FreeT3 level is low....this should correct itself with proper treatment.
Now, Armour is made from porcine thyroid that has a larger proportion of T3 compared to T4 than human thyroid. This can result in proportionately higher FreeT3 levels compared to FreeT4 levels. Most people are fine with this.
Those that aren't will still have hypo symptoms after their FreeT3 level has been optimized (towards the high end of the range). In cases such as these, the doctor can add some T4 in the form of Synthroid/levothyroxine to balance things out.
And, to help you understand your symptoms and know what to expect as you adjust to Armour and future dose increases, you might want to read this thread:
(waking during the night as you describe it is called "interrupted sleep" ....yep, pretty annoying - been there, done that)
Please know that it's entire possible to feel well while dealing with hypothyroidism. I have been symptom-free ever since I stabilized at my optimal levels. It's awesome.
We'll be looking for an update from you with your next set of labs.