** 1. going by your history: chronic thyroidits is there and since there is no alternate to hormone in any -pathy thus continue with thyroxine. 2. since in history, there is mentioning of goitre , thus look for any pressure symptoms on neck like: pressure on the esophagus [difficulty eating], trachea [shortness of breath]. 3. there is increased incidence of other AI diseases like [rheumatoid arthritis, haemolytic anemia,purpura, myasthenia gravis, SLE] in such patients thus check with your attending Doctor with relevant examination and investigation. 4. Since hashimoto s thyroiditis is an autoimmune disorder [AI], and AI disorders/disease are classified as AMA in Ayurveda thus treatment initiated will be Aam Pachan, Deepan & Rasayan [Immunomodulators/Immunomodulation] Chikitsa.