Check free T3 and free T4 .
If free T4 is low then you have overt hypothyroidism and needs treatment.
If free T4 is normal ( less chance as TSH > 10 ) then you have a subclinical hypothyroidism. Which might require low dose levothyroxine treatment as per symptoms.
Also I advice you to check anti TPO.
Clinical examination is also necessary to r/o goitre and nodule enlargement.
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