You have decreased HDL, elevated total cholesterol, and elevated triglycerides, which are risk factors for cardiovascular disease.

Your thyroid function is completely normal.

Like two-thirds of the population, you have inadequate Vitamin D levels.

It is not possible to render a specific diagnosis over the internet, but your history of depression and obesity are likely contributing to your feelings of chronic fatigue. Palpitations can arise from multiple causes, including from various forms of heart disease, increased stress levels, and stimulants (most commonly alcohol, caffeine, or/and tobacco).

Your dermatological problems can, likewise, be caused by a variety of ailments, including eczema or other forms of allergic dermatitis, and (rarely) dietary deficencies of zinc or essential fatty acids.

Addressing your depression and ADHD (as well as any major stressors in your life) will likely be helpful for at least some of the symptoms that you describe. Regular and vigorous exercise may also be helpful.

Sincerely/ Robert A. Wascher, MD, FACS

http://deoctorwascher.com

Just happened to be searching for some info and came to your post.
I have had a total tyroidectomy - I had both hypo and hyper symptoms for years through 4 pregnancies. Problems with Temp ( too hot/Too cold), Extreme fatigue(I would go to the grocery store and feel so exhausted I would want to just lay down on the floor), anxiety at times/my neck would feel tender when washing it/ and many other symptoms. I would feel as though I had a goiter and my mother thought at different times I looked as if I had one. Blood tests always were perfect but symptoms increased. Finally my dentist noticed a small lump (I think it was more recognizable in the position you sit in the dental chair) Then my doc took me seriously upon my dentists comment and sent me for an ultrasound of the thyroid which showed small nodules. I then took myself to a teaching hosp Jefferson in Phila. Where they biopsied and found cancer and took the thyroid out. I feel so much better and am glad that i had cancer so they would take it out. Suffering with thyroid issues is a huge pain.
Get yourself an ultrasound of your thyroid and a biopsy of any nodule if shown. Make sure you go somewhere that does thyroid biopsies regularly. EG - When I had mine - there were 32 other people there to have thyroid biopsies - not one leg, one thryoid, a lung etc.

Good luck and keep pursuing your symptoms - doctor's are to quick to dismiss good blood work and put you on a depressant for pain or depression - which is unacceptable. When you know something is wrong and you can't get a diagnosis being constantly sick would cause anyone to be depressed or oppressed by no diagnosis. Don't give up - at least you are a man - they take your gender's symptoms more seriously.