Im at a loss with my thyroid. My latest TSH was 13.150, free T3 3.10, free T4 1.4, anti microsomal antibody 132... I have Hashis and hypothyroid. I currently take 300mcg of Levothyroxin and 25mcg of Cytomel, and have for years. Ive gained a huge amount of weight, hoarse voice, annoying cough, dry skin, you name it, Ive got it kinda thing. Im so frustrated, I had to have a hysterectomy due to heavy bleeding 3 years ago. I also have symptoms of both hypo and hyper. Im getting a second opinion next month, but Im at my wits end. My joints hurt so bad some days its a challenge to walk. Any advice?