Typically, labs are drawn before the appointment so that you have the results to discuss with your doctor. I always get mine about a week before I see my endo so that I can get my questions together. It's very hard to suggest a meds strategy without some guidance.
If this muscle pain hasn't been a thyroid symptom before for you, why do you think it is this time?
How low was your D, and how much have you been supplementing? It would be a good idea to test that as well before your appointment so you can evaluate supplementation. Vitamin D should be in the 50-70 range for proper metabolism of thyroid hormones.
I am sure he will draw blood while I am there. As far as sx. my biggest sx. have always been the fatigue and brain fog, in addition to hair loss and thinning eyebrows. Hair loss seems to be minimal, eyebrows seem to be getting thicker, sleeping well. I am tired at the end of the day, but not spent like I was. As I said, it has been 2 mos on the Synthroid and I was really thinking things were looking up until the muscle pain in upper body started. I have increased my Vitamin D as it was slightly low last time checked. I couldn't put my hands on my lab when writing this.
Are you having lab work before your appointment, or do you already have results? Have any of your other hypo symptoms come back?