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First post, hoping someone can give a steer on what I need to change. I am a 49-year-old male and my main symptoms are fatigue, clumsiness, brain fog and severe cognitive issues. In 2017 I was diagnosed with Hashimoto’s disease, causing hypothyroidism, and secondary hypogonadism (Testosterone 6.11 nmol/L (7.60 – 31.40), FSH 1.6 IU/L (1.50 – 12.40) and LH 2.82 IU/L (1.70 -8.60)). A review of my thyroid results confirmed I have been hypothyroid for over 15 years despite my GP always saying my results were fine. For my hypothyroidism I have tried Levothyroxine, Liothyronine and Levothyroxine, Natural Desiccated Thyroid (Erfa then Armour and then Erfa again) and now Levothyroxine with Natural Desiccated Thyroid. For SH I was initially given gels but after 5 months changed to Nebido on 11 week interval. All meds are via the NHS. Over the last 3 years I have had short periods ranging from 3 to 10 days when I felt I was getting better physically, but not cognitively, only for symptoms to return. At the beginning of last year I was diagnosed with Heterozygous Haemochromatosis and I am currently under the care of an NHS Haematologist. Ferritin levels were 700-800 ug/L at the time but have since come down and now are generally either below or at the bottom of range (currently19 ug/L) whereas Saturation levels have always been high (81.00% (<45%)). I also have secondary polycythaemia, generally controlled by venesection, although my low ferritin levels don’t allow the venesections to be as frequent as they probably should be. I also have non-alcoholic fatty liver. My belief is that the Nebido injections are adding to my problems due to causing complications with high hgb and hct, coupled with Haemochromatosis, and I would probably be better off on shorter intervals of a different injectable and maybe adding HCG. It also doesn’t help that ferritin level needs to be around 100-120 ug/L for thyroid meds to work effectively. Also, does any know who the go to NHS specialist is now that Dr. Hackett (who originally diagnosed me) has retired from the NHS? Thinking of trying Dr Savage, as I am in Birmingham and he’s not too far away, but can’t afford private meds (and I already get my meds via NHS). Any advice would be appreciated.