I have been dealing with hashimotos thyroiditis since age 15. After my hysterectomy based upon lab results dr put me on 235 mcg levothyroxin and weight was coming off and I felt great, he reduced thyroid to 200 mcg and I feel terrible again. Recent lab results reflect tsh of 0.09 and FT4 of 2.05. Hair is falling out/breaking off, nails break off easily, skin dry, can't sleep. Now he says reduce levothyroixn to 175. Take triamterene for the swelling in my hands/feet. Some days I am so tired. Taking vitamin b12, vitamin d. any recommendations?