I so feel for you Juneo....I too have an under active thyroid (40), Iv went through a very difficult menopause starting at 44 and Im now 52. Having both is a real challenge!! I am often anaemic and have terrible anxiety due to complex ptsd.
Iv had to stop the job I loved as every day I dealt with something to do with these illnesses and still do. Im on levothyroxine, Tibolone and nortriptyline (never wanted to be on meds) but I need them to take some of the symptoms away or I would have went into a deep depression.
Dry skin/eyes/ears and vaginal dryness is a daily struggle. Fatigue, joint pain, insomnia and many more ailments.
Im 52 but feel alot older, I struggle to get much understanding from family and friends as they sailed through menopause and dont have thyroid probs. I recently had to reduce my thyroid meds but now have to gradually increase again (no idea whats going on there).
Dont beat yourself up, take good care of yourself. Dont hold back from requesting blood tests or help from your Doc...this is your body and your life!
I also take high strength vitamin c, omega 3 and Iron tabs. On the days Im very tired and sore I put my feet up, grab a coffee and give myself a cuddle. 💕