Tom, thanks for posting your labs. Your ferritin, as mentioned, is quite low, as is your iron serum. Would like to also see TIBC to see how well you can bind iron with transferrin in the body. If all checks out, you need to discuss an elemental iron therapy program with your physician; one that will also include an ample amount of Vitamin C. This replenishment will be essential for a variety of reasons, one particularly being the productivity of your thyroid ... I can't imagine your energy levels are doing very well, but curious to what you're feeling? Do you notice any deviation in your temperature from waking up to going to bed?
... On your thyroid, good information provided, but I need more. Find a way to get Free T4, Free T3, Reverse T3 and antibodies (TPO, TgAb). Your labs appear to be total T4 and T3. Although, there's a trend that I would expect to see with those labs (based on your ferritin/iron), the free and unbound thyroid hormone will give the true accuracy of what's actually bio-available.
The trend I am speaking of is the lab numbers and where they sit in respect to the reference range span. Your T4 is right about 22% of it's reference range, T3 is at 57.5% of the range. I suspect the free and unbound values will be similar, but let's rule out the speculation. What you're ideally looking for when everything is running correctly is both labs to be in the 50% to 80% range, and Reverse T3 within an exceptional range that would show T4 is converting to T3 at a normal, healthy rate.
When there's a problem, like iron, ferritin, and/or cortisol (plus others areas where stress, pathology, metabolic syndrome), you will in most cases see T3 much higher in its range compared to T4, or call it T3 is noticeably to the right of T4, which is usually a sign the T3 is pooling and not effectively getting into the cells of the body. Adequate iron and ferritin are needed as a transport agent. The body's ability to react to a situation or complication is to produce higher levels of RT3, which basically is the brakes on the positive charge of ATP until the body gets corrected. Sometimes these corrections don't get resolved, even though the body continuously seeks homeostasis. In these situations, people can go years, or even all their lives never getting the type of well being that they are capable of achieving.
Your TSH reflects that T4, the storage hormone is on the low end, so the feedback loop is signaling as it should to make more hormone. IMO, it's about where it should be with the scores of your Total T4 and T3. I would also suggest getting a 4x Saliva Cortisol test. You might be surprised to see the correlation of adrenal issues tend to be a topic when iron and ferritin are in question. Getting to the right area with your iron and ferritin could take a few months, so be patient. The trick is getting on the right elemental iron regiment, and trust me when I say, make sure Vitamin C is ramped up, and even Vitamin E in some cases with various iron supplements. You will also want to make sure you include B12 (methylcobalamin is my pick for various reasons), and definitely make sure you have adequate Vitamin D3.
Hope some of this makes some sense. Nelson provided a link to STTM.com. Definitely do your research and feel free to ask any questions. Keep in mind, I'm just one guy on a forum with hopefully a few ideas to consider. Your best bet is always to align with a qualified physician who can and will make your concerns his or her priority. Also, apologies if this turns out to be a run-on paragraph. I can never get paragraph breaks with my tablet!
