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Originally published on 1st June 2016 Last updated on 11th February 2019
Both of the below photos were taken with no make up on, no filters or edits, first thing in the morning and just out the shower.
So what’s the difference?
My Experience With TSH
In the first photo, I was incredibly ill. I was hypothyroid with low iron stores and was refused medication for my thyroid. I was told I was ‘only borderline‘ based on my TSH level and so didn’t need thyroid medication. I was told that iron tablets would fix everything.
I waited a few more months and got no better. I actually got worse. I was then put on Levothyroxine and I was officially ‘mildly hypothyroid’ going by the TSH test. Does it look ‘mild’ to you?
My Experience With Levothyroxine
Levothyroxine, considered the ‘gold standard’ of medicine, made me feel even more unwell. Doctors told me that it was all I needed and I was just depressed. They told me my complaints of it not helping me were all in my head. They told me I was ‘fine’.
Do I look ‘fine’ in that first photo? My eyes are purple-black, eyebrows thinning badly (particularly from the inner third), my skin dry and tight, I look gaunt and generally very sick. I look hopeless. I look unwell.
But doctors gave me the medicine they said would fix it all and tested my TSH which is ‘all that’s needed to be done’. My TSH came back ‘fine‘. So I was ‘fine‘.
My Breaking Point
After hitting a point where I couldn’t bear to live any longer, in physical pain 24/7 in every inch of my body, where I couldn’t take being so unbelievably exhausted that every blink I took was a conscious effort to open that eyelid again, where the thought of work, socialising and keeping up appearances made me break down because I couldn’t pretend I was ‘fine’ any longer, where I was told I was a hypochondriac and I shouldn’t do my own research, I decided to take back my own health and be my own advocate.
I learnt that doctors going by TSH alone are leaving many thousands of people undiagnosed and under-treated. I learnt that T4-only medicine like Levothyroxine is massively inadequate and according to Thyroid UK’s research last year, resolves just 7% of hypothyroid cases. 
I learnt that I could be well, happy and actually living my life again on a new medication, Natural Desiccated Thyroid. I no longer had to heart-achingly drag myself through painful, lonely and horrendous days anymore. I wasn’t doomed to a life of being suicidal or feeling close to ending it all. And most importantly, I learnt that I deserved to feel well again. I deserved to be listened to. I deserved to receive a treatment that made me better. I deserved to be treated like the individual that I am. And so do many other people who are undiagnosed and inadequately treated from thyroid disease.
Most people don’t even know they have hypothyroidism. As many as 60% go undiagnosed according to the American Thyroid Association.
On Natural Desiccated Thyroid, my health had recovered hugely in just a few months. My physical and mental health hugely improved. I was almost fully back to the old me. My heart breaks when I think about the Rachel who couldn’t bear to live another day of being so unwell and so fed up. When I think back to how much physical and mental pain I was put through, because of this ‘gold standard’ medicine and TSH test, it makes me so, so angry.
Yes, TSH is an important part of thyroid testing but that’s just it – it’s part of the thyroid panel. It should be used alongside the other tests (Free T3, Free T4 etc.)
I will not stop spreading the word about this until people are treated like people. It’s an absolute scandal that medical professionals are leaving many, many people living a sub-standard quality of life, or like in my case, no quality of life at all. I was twenty-years-old and had to be aided up stairs. My brain was so starved of thyroid hormone, that brain fog and confusion impacted my ability to do my job. I was given the diagnosis of Chronic Fatigue Syndrome, because I couldn’t walk more than ten steps without needing to sit down or feeling as if I was going to collapse.
A study in 2018 even showed that Levothyroxine was associated with a lower quality of life in those with Hypothyroidism.  Yet it’s the only medication routinely prescribed here in the UK and as a result, many people have to go private for another type of medication or even buy their own thyroid medication, to get their lives back.
Does that sound like the ‘gold standard’ of testing and treatment?
Gold standard definition: “A thing of superior quality which serves as a point of reference against which other things of its type may be compared.”
Read more about my personal experiences of finding the right thyroid medication for me, in my book: Be Your Own Thyroid Advocate: When You’re Sick and Tired of Being Sick and Tired.
You can click on the hyperlinks in the above post to learn more and see references to information given.
Please remember that if you’re a thyroid patient living with poor mental health or lingering physical symptoms, that you don’t have to live this way. To address why you may still be feeling unwell (often despite being on thyroid medication too), please see this article and go through each suggestion, putting your thyroid jigsaw back together.
There is also an online thyroid course which you can complete from your own home and computer. Freedom From Thyroid Fatigue helps you tackle low energy thanks to thyroid disease, with a personalised approach.
Rachel Hill is the highly ranked and multi-award winning thyroid patient advocate, writer, speaker and author behind The Invisible Hypothyroidism. Her thyroid advocacy work includes authoring books, writing articles, her email newsletters, blogging and speaking on podcasts, as well as being a founding board member for the American College of Thyroidology and The WEGO Health Patient Leader Advisory Board. Rachel has worked with The National Academy of Hypothyroidism, The BBC, The Mighty, Yahoo, MSN, ThyroidChange and many more. She is well-recognised as a useful contributor to the thyroid community and has received multiple awards and recognitions for her work and dedication. She has authored two books: ‘Be Your Own Thyroid Advocate‘ and ‘You, Me and Hypothyroidism‘. Rachel is British, but advocates for thyroid patients on a global scale.