Don't focus on explaining. Focus on providing arguments for the claims you are making.

What's the difference?

The claim that middle-aged woman are a class of patients that generally easy to ignore is a significant claim for which you provide no evidence.

Then as evidence I refer you to the site http://www.stopthethyroidmadness.com/, which is largely devoted to middle-aged women complaining about displaying terrible symptoms, and being ignored.

I predict that you will be tempted to ignore them. They are certainly doing a good job of looking like lunatics. It is a problem with what I am increasingly tempted to think of as 'my tribe'.

If they're too mad for you, then try http://www.tiredthyroid.com/, where one brave and clever lady, who does not look mad at all to me, has comprehensively debunked the medical theory and treatment of hypothyroidism proper.

I have not read the website, but I have recently read the book 'Tired Thyroid'. She has done a wonderful job and gone much deeper into the literature than I have. She debunks not only conventional medicine but all the lunatic alternative treatments too. She provides references from the literature for everything she says.

The book is closely argued. It is heartbreaking. Its arguments affect the lives of millions. Tell me why she is ignored.

The most open-minded thing I've read from "medical science" recently is called 'Dissatisfaction with thyroxine therapy — could the patients be right?' by John Walsh. This man is being ludicrously brave by sticking his neck out that far.

'Could the patients be right?'. About their own symptoms.

This is not science. This is some pathetic parody of science, where idiots in white coats claim the glory of physics despite not being able to reason their way out of paper bags. I call bullshit.