I have a tsh level of 251 free t4 level of 0.8 and currect meds are levothyroxine 525mcg daily. Vitamin d 50,000 every Sunday, 3000mg fish oil w/omega 3 daily, 1 baby asprin, 1 muti vit daily, I am 42 female weight 244. Hdl 36 total cholesterol 202 I experience chest pain and palpatatons daily (sever), lightheadedness, neck pain (left side) foggy hearing when neck pain, Unsure if it is heart related or thyroid related, Current MD will not to a referal to cardiologist, should I be concerned, I am scared to exercise in fear that I will have a heart attack because the pain and the heart rate get worse after 1 min of exercise. Heart beat irragular most of the time.