Early in Hashimotos the hormone levels like TSH can be normal because not enough of the gland has been destroyed to reduce hormone production. However, some Drs will treat it, which helps patients feel better . Also, selenium supplements may lower antibody levels and slow gland tissue destruction and reduce inflammation involved. The cytokines produced by the inflammation cause fatigue. There are studies about this on the NIH website. I hope riefsny has gotten help by now!