It may be that your hypothyroidism is progressing quickly which would explain why your TSH has not dropped a lot. I would see your doctor and ask for your dose to be increased to 100 mcg now. Patients used to be to started off on 25 or 50 mcg and increased by 25 mcg every six weeks or so. This just prolongs the recovery. A more modern approach is to start the patient off on 100 mcg and assess them after four weeks and then titrate in 25 mcg steps. The only exceptions are if the patient is elderly or has a heart condition. I would askt your doctor to put you on 100 mcg and follow up in four to six weeks. There's no merit in dragging things out.

Doctors appear to only look at the TSH and maybe T4. The TSH is highest early a.m. and drops throughout the day and may mean you don't get a rise in dose as you deserve and maybe even a reduction in levo. That's why an early a.m./fasting test is advisable.

Your doctor should do B12, Vit D, iron, ferritin and folate and tell him (if you've not had them for a while) that deficiencies may prevent thyroid hormones working properly). Not that I know that for sure but it is no good having one thing optimum and the others below or even deficient. Vit D and B12 are pro-hormones and deficiencies will give us problems.