Michelle

I thought I had constant thrush at first because that "white stuff" looked like the original thrush infections that the lozenges cleared up. But my tongue was not cracking and splitting like it did with the thrush. I got the "dead skin" story too and told to brush/scrape. What works best for me is just wrapping a facial tissue around my forefinger and swabbing all that stuff up about three times a day. Can't hurt to try it.

Since you mentioned continuing fatigue, IMO you should have a blood test to get your TSH level it should be under 3 and it should also be close to what you used to have. My pre TX TSH was 1.6 but my CCC though post TX 4.6 was just fine according to the "guidelines" and "lab ranges". I went to an endocrinologist who graduated from medical school in the 21st century and she just shook her head at how outdated their info was. My fatigue and the constant being cold and tired just evaporated once I was on the thyroid pills.
Charm