Well, for those of you who remember my thyroid concerns, I finally went to an Endocrinologist (K9Mom, the one listed on the info you sent me), didn't have to have a referral either. I took my thyroid scan results from other dr. and gave them to him; he said thyroid was nothing to worrry about. Although he did tell me I had a small cyst on my right side, but that it was not unusual to have one and that would soon heal itself in 6-12 mos. He used some technical term meaning that I had had some cold or something that settled in my thyroid, but that I was getting over it based on the ultrasound that he did. He went on to tell me that my thyroid was the least of his concerns; that my major problems were a result of Mitral Valve Prolapse. He asked if I were taking any medication for MVP and I told him no. He said that as you get older and are pre-menopause you start to experience more problems which are hormonal related and that my feelings of exhaustion, insomnia, palpitations, irritability, etc. are a result of MVP. Also, taking birth control is aggravating things. He prescribed an anti-depressant called Doxepin and Tenormin, if needed, for side effects. His office scheduled me an appt with my GYN to take me off birth control and to put me on some type of hormones. All of this is hitting me pretty quickly and I don't know how to accept this info. Anti-depressants are something I'm a little afraid of. It'll mean a whole lifestyle change for me (no alcohol). Take meds 2 hrs before bedtime? What's bedtime if I go out to party?? I really feel pretty good overall and don't have a problem with alcohol.Is anyone familiar with these meds he prescribed? Any advice at all would be appreciated!!