My tsh was 9 before 90 days,then continue thyrox 12.5 but now tsh is 10.17, what should i do? today morning my BP was 109/66 and pulse rate 82, hemoglobin is 12.4, vitamin d3 is 34.5, vitamin b12 is 495, last year April 2013 i started thyrox 25 because my tsh was 5.7, continued for 14 days then discontinued because faster palpitation, in 25th may 2023 my tsh was 4.5, may 23 to sep 23 i had migrane problem,in july 23 to sep 23 i had anxiety problem because my mother died in hospital under treatment with ckd, cad, hypothyroid, hypertension, my physical fitness was very weak, i was unable to bicycling and walking just 1 km because my palpitation was faster than normal, in 7th sep 23 medicine specialist prescribed me escitalopram for anxiety, in just a single dose of that medicine used then started side effects like my palms feeling hot like near fire, faster palpitation, sweating from palms only and shaking of hands, and discontinued that medicine, above mentioned medicine are taking .