Hi Don,
I would also stress that thyroid numbers are important to get an idea of where you are. Once you are treating, sometimes you have to let go of the numbers somewhat, because being in range does not mean that your dose is right for you. I slowly upped my dose in very small increments, and waited for a few weeks in between before I raised again, and was careful to know the signs of hyperthyroidism and watched carefully to make sure I was not taking too much. I doubt the Kaiser peeps would be big fans of this method, but if you have checked everything else and are careful, it can be a way to see if you simply need a bit more thyroxine (or whichever thyroid replacement you are on).
Also, I would be interested to know your fasting glucose and HbA1c and possibly your triglycerides (which I imagine your docs are watching anyway). Diet can cause a lot of fatigue in some people, so it might be worth getting a sense of your carbohydrate metabolism by looking at those numbers.
