She has had the thyroid problem for a good few years. People have been saying for the last 3 years perhaps she cannot get it under control. I have an overactive one and my GP had my off to the specialist in the hospital pretty quick. So no way could AY not get sorted after such a long period, yes it can go haywire from time to time. But you are suppose to go get your blood work done every 3-6 months to catch any difference. Its not as if she is working non stop from the early hours to late at night 7 days a week. She can get to her GP and or nurse for blood tests.
She looks the same to me as I said, its just she is getting older wears too much black eyeliner, shimmerbrick and bright colours for her complexion. A warmer shade of blond dye, softer make up and more pale shades in the clothes she would look so much better. She really needs what is called a Make Under.
I'm not suggesting this is remotely a normal experience or acceptable in any way, but it took nearly a decade for me to get an accurate diagnosis and treatment for my severe thyroid problem, and I'm still struggling to get it under control after a year of of messing with dosage. Apparently it's in a terrible state since it went untreated for so long, well done former GP. Anyway, the point is who knows what's going on with Alison's or why it seems to have taken a long time to control it, thyroids are tricky buggers.