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I’ve looked into the keto diet. It’s appealing to me but it would be a struggle to follow with 4 kids and constant activities. I’ve almost signed up for one of the prepared meal delivery programs but they are expensive. I still might try it for a month or so and see how I feel. My TSH has been fluctuating in the last year and a half. My last labs were the first time I requested T3, T4, and antibodies.

Sep 2018 TSH =3.78

April 2018 TSH =3.52

Sep 2016 TSH = 3.2

I feel my depression like symptoms are being caused by either my thyroid, testosterone, or mental. I’m not sure where to start but I think it would be better to work on one thing at a time. I went to a psychiatrist for the first time and he said sometimes they use synthroid for depression but he wanted to try effexor xr along with the mirtazapine I am already taking. I’m wondering if it would be good advice to try TRT first before adding antidepressants or the antidepressants first. I just don’t want to on trt, thyroid meds, and antidepressants all at the same time. Too many variables to work with when trying to dial in treatments.