Flyfish, Sorry this is long.
I learned alot from my Endo who was from Iceland and unfortunately he has gone back home because his mother is dying of cancer. In Europe they test the Blood sugar more for emotional problems. They believe it was connected. When he told me he felt my fatigue, gloomy outlook, daytime napping and inability to lose weight was from my blood sugar and not thyroid I thought he was crazy.... but he was right. He dug deeper. He is also a Phychiatrist. sp?
The high insulin is a prerequisite to Diabetes... but you need a 2 hour done to show the entire picture. My fasting insulin was normal, my 2 hour was sky high. I was placed on metformin and I could not believe how much better I felt and my weight fell off. My blood sugars are perfectly normal. My Endo explained you can have a perfectly normal blood sugar but have symptoms for 5 years before you blood sugar problems show up. Your Insulin tests will show it early if you have a problem.
I am 56 now. This started for me when I was 48. Sudden weight gain, fatigue and so on. I then started on my journey of spending tons of money on saliva tests, compounded hormones, supplements, different diets, books, health programs, Chinese herbs, accupuncture, and several Doctors....... none worked. Only on my checkbook.
Finally at 53 nodules appeared on my thryoid and everyone started taking notice. My labs were still normal but they started treating me due to my goiter and nodules.... See I was not imagining this.......
Well now I know I have Hashimoto's, Celiac, a milk allergy that was totally unknown to me and Insulin resistance. I am just now starting into Menopause late but doing fine with it. My Endo tells me I was developing what they call Metabolic Syndrome. Wieght gain, mild high blood pressure, lipid elevated, and weight around my middle.
So now my thyroid symptoms are better, my weight is down ( not back to my original size 7 but close enough), blood pressure is normal, cholesterol and triglycerides are normal, I am energetic and have no more brain fog. I have changed my diet completely and do not eat dairy or gluten. I exercise everyday even if it is just walking or lifting hand weights. I enjoy a glass of red wine every night encouraged by my Endo. I hope this all continues for me. I feel so happy.
FYI the Testosterone compound made me irritable and I gained weight on it. This does not mean it will happen to you but keep an eye on it.
I was on Zoloft for a short time. I only took 50 Mg instead of the 100mg. It actually worked well for me. It is the best one for people with anxiety. That would be me. My Dad had passed away and my kids had left home. I would take it again if needed. I would hesitate to take a new or different one.
Good luck, sorry this is so long but maybe it will help someone.