Found nodules, trying not to worry and avoid feeling defeated

33M, I haven’t been diagnosed yet, actually my doctor REFUSES to use the words hypothyroidism or hashimoto’s and I’m only met with “your TSH is high and you have thyroid antibodies present”but I have the markers of hypothyroidism and hashimoto’s. I thought I caught it early but now I’m not so sure.

TSH of 6, TPOAb of 255, normal T4/T3, daily fatigue and low mood, lower testosterone, broadly thinning hair on scalp.

I had a thyroid ultrasound and below are the condensed findings. I’m just curious if this is similar to other’s experience since I’m so new and still wrapping my head around it with a slew of symptoms I dismissed as aging that now all perfectly align with hypo/hashi’s.

Not seeking medical advice, just feeling a little alone and defeated. Curious about other’s experiences.

What I thought was minor acid reflux (I have been scoped several times and have signs of minor reflux) was probably thyroid inflammation for years.

Findings (if interested)

Right Thyroid Size: 5.7 x 1.2 x 1.7 cm
Left Thyroid Size: 6.1 x 1.5 x 1.8 cm

Nodule #1:
Position: Right mid gland Size: 6 x 2 x 4 mm
Composition: Solid or almost completely solid - 2
Echogenicity: Hyper or isoechoic - 1
Calcifications: Macro calcifications - 1
TI-RADS risk category: TR4 - Moderately Suspicious, does not meet size criteria for follow-up.

Nodule #2:
Position: Right mid gland Size: 6 x 2 x 4 mm
Composition: Solid or almost completely solid - 2
Echogenicity: Hyper or isoechoic - 1
Calcifications: Macro calcifications - 1
TI-RADS risk category: TR4 - Moderately Suspicious, does not meet size criteria for follow-up.

Nodule #3:
Position: Left superior thyroid Size: 19 x 8 x 16 mm
TI-RADS risk category: TR1 - Benign

Nodule #4:
Position: Left mid pole Size: 14 x 9 x 11 mm
Composition: Mixed cystic and solid - 1
Hyper or isoechoic - 1
TI-RADS risk category: TR2 - Not Suspicious