Why your TSH is 'normal' but you're exhausted: the silent dialogue between HPA and HPT.
Chronic cortisol slows peripheral T4 → T3 conversion, raises rT3 and desensitises thyroid receptors — while TSH stays perfectly normal. This is the most common scenario behind "unexplained" fatigue after 40.
This exploration describes the tandem both ways: what stress does to the thyroid, what a missed hypothyroidism does to the adrenals, and how to break the loop without stacking supplements.
5 panels · validation quiz · sources Thyroid 2003, Int J Mol Sci 2022, Nutrients 2017
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