Thanks for providing more information.
TEST RESULT N.RANGE
TPO AB <3.0 (<9.0 IU/mL)
T3 123 (100 - 200 ng/dL)
Free T4 1.0 (0.7-1.8 ng/dL)
TSH .2 (0.4 - 4.0 mIU/L )
C-Reactive Protein .2 (0-1.0mg/dL)
HGBA1C 5.6 (Less than 5.7%)
Estimated Average Glucose 113
Cortisol 19.1 (6 - 23 mcg/dL).
Insulin 12 (5-20 mcU/mL)
Normal range can vary from lab to lab.
As per your reports,your Serum TSH levels is lower than normal range and suggests thyroid dysfunction.
So a clinical correlation of your blood work findings with your current symptoms should be considered by your doctor.
And you should make an appointment with your doctor in next few days.
As you are suffering from haemorrhoids and anal fissure for few months with little relief so you need to consult a colorectal specialist for ano-rectal examination for further management.
Constipation,straining during bowel movement can be contributing factors in haemorrhoids and anal fissure.
So eat fibre rich diet,take Metamucil on a daily basis, drink plenty of water (8-10 glasses per day).
moist towelettes or wet toilet paper .
Avoid alcohol, spicy food, fat rich food.
Avoid straining during Bowel movement .
Eat more fruits, vegetables and whole grains.
Avoid long periods of standing or sitting.
Even sitting too long, particularly on the toilet, can increase the pressure on the veins in the anus.
Do regular exercises .
I hope this helps.
If you have any further query then feel free to ask.
Positive feedback and bonus are highly appreciated.