I have been taking thyroxine for 24 years for hypothyroidism. I did post on here earlier this year because my GP reduced my dose and i began to get clinical symptoms of hypothyroidism. I have been so aching in my joints and tired I asked for a menopausal test as I had read recently that this could be symptoms. So I had the blood test 2 weeks ago and received a phone call from the nurse practitioner to say my thyroid levels need to be increased as TSH is 0.03 and lowest level should be 0.3 she said I now need 175mcg. But also the test shows I am menopausal and have a choice of starting HRT. So my overwhelming problem is very painful joints and secondary is lethargy. Shall I go for both at once or try the thyroxine increase first. My other thought is I have just read on here that low vitD can cause joint pain? Advice would be fab. Thanks.