Hello I m 47 years old .English been on Levothyroxine112mcg for approx. 1 year My labs 6 months ago showed low to no pituitary gland production and no ovary. I recently started the lowest dose estrogen patch bi-weekly. My TSH was called to me today 0.187 what should I expect. I go to my family Dr. next week I m usually very active and have had trouble with weight gain and difficulty losing for around 8 months still , with fatigue, noted forgetfulness, dry skin , and hair loss. I m a nurse and busy Mom. I need to feel better and not be worried. Help with suggestions, what to expect, or do? Crystal Hello ,I ve tried to pay and the website is not available.