Firstly, the
thyroid medication should be continued, moreover in late stages of pregnancy the dose needs to be increased due to increased demand.
Secondly, ideally monthly visit is required during 1st 7 months, so you should visit a clinician within 1st month or if any symptoms develop. After 6 wks you should also do a USG along with other necessary investigations and TT injections, Iron, Folic acid,
calcium tablets etc are to be taken. Also you should very importantly address the issues regarding your weight and age, as they are associated with some risks also. Also a fetal anomaly scan will be a good option later on.