Breaking Through The Fog
hmm genova? I had been told to get lactate/pyruvate blood ratio test, which i was told was a normal lab that would b covered by insurance and not a specialized thing. I had been told the ratio was more important than total lactate.
You should think about giving lithium orotate another chance (although it may send your T3 levels through the roof if you still keep taking T3). Last time you tried LO you were still too hypo to tolerate it. I couldn't handle lithium either before I fixed my thyroid. Or maybe add cyproheptadine if you still have it. I guess berberine is another option that could theoretically work.
For lithium I recommend NCI brand that I linked on my blog because it's the only one with sustained release so it's more gentle. You gotta make it at least through the first week before you know if it works for you or not - acute effects of lithium are completely different than chronic effects. And time of the day when you take it might make a difference too.