I had a total thyroidectomy 16 yrs ago for metastatic papillary cancer, and struggled for the first several years with symptoms of fatigue, body aches, migraines,
nausea, vestibular dizziness. I am a PT and needed to cut my hours. All my doctors just looked at my TSH levels and said I was "fine", or something else had to be causing my fatigue. After a few years a naturopath added some estrogen/progesterone and increased my Synthroid a bit....