@detharlwy @Kala Have you guys ever tracked your temps as per Dr Rind?
http://www.drrind.com/therapies/metabolic-temperature-graph
In 2001, I was in rough shape. I was rapid-cycling right through my medications. I was not in control and would be hospitalized. This was not the first time that I had had symptoms break-through my meds.
But 2007 was the last time that I allowed this to happen. I undertook to find the biochemical drivers for my condition. I went off my meds and started natural approaches.
It was a pretty rough road but no more hospitalizations.
In my case, I sense that I would not have recovered to this point without endocrine supports. As I said a number of posts ago, while I can not be certain, as I made a few simultaneous changes, the complete override of my thyroid seemed to be the turning point in terms of mood dysregulation. My TSH with treatment is around 0.01.
Rather than use TSH as a guide, I use T3 - and peg it at the very, very top of normal levels....currently a speck above and I am watching it.
In 2011/12, my temperatures were low generally and would drop another degree or nearly two when I triggered a fatigue event. (I know that you do not have CFS detharlwy but the fact of the matter is that I have no idea how long my temps were low before I started to pay attention to them).
My lowest recorded temperature was 92F - I was confused with that one. But generally they ran around 95F.
They came up to 96F with chelation of mercury but it would take B12 to return them to normal. At the same time, the diabetes insipidus cleared. IOW, I had a lot of autonomic involvement.
The bottom line on all of this is that I am not sure whether mood control can be optimized if the endocrine system is running amok. As I have said before, I seem to be on my own path but it is an easy thing for others to check out. Just take some temps for a couple of weeks.