I just had my TSH levels drawn and they are 53.7, the highest they have ever been is 19.3
I am now on 224mcg levothyroxin qd. I have nodules on my thyroid and have been requesting that my thyroid be removed for almost ten years now. My request has been refused consistently and the suggestion has always been that my dose of medication should be leveled off first, but this has never happened. Now this huge jump in my TSH level has me concerned. What should be my next step?