Re: Advice on recent labs
I don't see how your MD could say all your thyroid levels are "fine", because he didn't even run the most accurate tests. Free T4 is much more accurate for women than total T4. T3 uptake is a useless waste of time, money, and blood sample. And he should have run a free T3 as well.
That said, your T4 is suspiciously low to be "normal". For most healthy women, it would be in the top part of its range. And your TSH is above 2, which is also an indication that your thyroid isn't functioning up to par.
It isn't enough for TSH, T4, and T3 to be merely within range. You have points within those ranges that are your "normal", just as you have one shoe size within the standard size range that you can comfortably wear.
I'm not entirely sure how to interpret that TSI level. I do know that any titer of TSI is abnormal, even that which is technically below range. No thyroid-healthy person should have TSI antibodies. I've never seen a result expressed the way yours is, so I'm uncertain what to make of it... Whether it's positive or negative.
It appears to me that your symptoms are due to an underfunctioning thyroid gland that has been damaged by Hashimoto's thyroiditis. I'd be insisting on treatment for it now.
"We can complain because rose bushes have thorns, or rejoice because thorn bushes have roses." Abraham Lincoln