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Your TSH is definitely high and the TPO antibodies are also positive. Although your T4 levels are normal or slightly higher than normal. Now if you have symptoms of tiredness and fatigue I would suggest that you should have been on thyroxine. Anti-TPO antibodies and High TSH mainly goes in favor of hypothyroidism. So I would suggest that you do see an endocrinologist and get a prescription of thyroxine. It will help in relieving your symptoms. Some time T4 levels fall later in the disease but having high TSH and anti-TPO antibodies in someone having symptoms like you have most likely suggest a hypothyroid state
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What is the normal reference value of T4 in your report ?