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Considering your symptoms and the lab results of late I do see a need to start you on the thyroid hormone replacement.
Although your results are not completely in hypothyroid range but a highly positive antibody and your symptoms suggest a diagnosis of Hashimoto thyroiditis and in my view you need a thyroid hormone replacement.
I would suggest you to see an endocrinologist and discuss about starting the thyroid hormone replacement therapy.
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Levothyroxine can be given orally in this situation