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Why do you still feel tired? Taking thyroid medication and having a normal TSH doesn't always explain why someone continues experiencing symptoms. Persistent fatigue, feeling cold, hair changes, and low energy can have many possible causes. Thyroid hormone physiology is more complex than one lab value. T4 needs to be converted into the active hormone T3, and that process occurs in tissues throughout the body. Other factors such as sleep, ongoing stress, nutrition, blood sugar regulation, medicat
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