TSH, T3@T4 levels

[clatter]

My TSH is 1.76mU/L  (0.30-4.50)
T4 level is 14.2 pmol/L (11.0-22.0)
T3 level is 4.2 pmol/L  (3.1-6.8)

My doctor says this is normal but I have symptoms of being very cold all the time, low temperature in a morning, loss of hair, wondering what anyone else thinks

[clatter]

Thank you for the information

[gimel]

The most important indicator of the possibility of hypothyroidism is symptoms and you have symptoms that can be related to being hypo.   The second most important indicator of possible hypothyroidism is the level of Free T4 and Free T3.  Those are the biologically active thyroid hormones.  

Of course the results and ranges from this quote are different than yours, but I think you can get the drift by comparing position within the ranges.  In the words of a good thyroid doctor, "The free T3 is not as helpful in untreated persons as the free T4 because in the light of a rather low FT4 the body will convert more T4 to T3 to maintain thyroid effect as well as is possible. So the person with a rather low FT4 and high-in-range FT3 may still be hypothyroid. However, if the FT4 is below 1.3 and the FT3 is also rather low, say below 3.4 (range 2 to 4.4 at LabCorp) then its likely that hypothyroidism is the cause of a person's symptoms."   Thus Free T4 and Free T3 in the lower half of their ranges means that hypothyroidism is likely the cause for the patient's symptoms.  

Both your Free T4 and Free T3 are well below the middle of their ranges, indicating that your symptoms are likely caused by hypothyroidism.   The reason for that is that due to the erroneous assumptions behind the ranges, they are far too broad to be functional across their entire breadth for many patients.  Of course the doctor will also point to the TSH level and say that it is within range.  However, that overlooks the possibility of central hypothyroidism, which is a dysfunction of the hypothalamus/pituitary system that results in relatively low TSH, with accompanying low Free T4 and Free T3.  

You can get some good insight from this link written by a good thyroid doctor.  You may be able to use this info to persuade your doctor to consider treatment with thyroid med.

http://www.hormonerestoration.com/Thyroid.html

We fully recognize that due to the pervasive influence of the NHS, it is very difficult to get UK doctors to do the necessary testing and treatment required by hypo patients.  A UK member that was finally successful told us this.

"What I have learned from my experience is that you have to go to the Dr's office and TELL THEM WHAT YOU WANT and to go backed up with knowledge.  You have to tell them that you have done your reading and looked into your condition and care about the long-term treatment of your health and thyroid.  If you fight for what you want, you will eventually find someone that is happy to go along with your wishes.  But we all have to take charge of our own health, right?"

If you are unable to find a good thyroid doctor there may be an option to go private.  Whatever direction you take, please keep in touch because we can help interpret test results and advise further.