I have extremely cold feet and hands...I am tired all the time with no energy, low libo, weight gain and hard time losing it. I eat right and stay in a 1200 to 1400 calorie range with 3 days a week exercise. I've had my T4 (1.01) and TSH (1.74) checked. I also use a HRT patch. My GP says I'm ok, but I don't feel like myself. I feel like I'm looking at someone else. I have done 2 salvia test and been told I have adrneal fatigue. Now, what ? Do I just except this as my life now?