Why would my tsh be 54.33 and my t4 is .59, i have hypothyroidism have had it for over 15 years, but i dont feel any better on or off the medicine.

Hypothyroidism: Your TSH is very high which indicated hypothyroidism. You need to work with your physician to get your TSH down to the optimal level of about 2. Once you obtain this level, then you should feel better. Thyroid function is also dependent on other nutrients such as zinc, selenium, iron, iodine, tyrosine and multiple vitamin. Replenishing these if deficient can also help your thyroid function.

Hypothyroidism: If T4 (tetraiodothyronine) level is low in primary hypothyroidism, the TSH (thyroid stimulating hormone) from the pituitary elevates to "tell" the thyroid to make more hormone. Untreated hypothyroidism can cause many symptoms: fatigue, weight gain, dry skin, constipation, hair loss, cold intolerance. Severe swelling and coma can occur when severe. See your doctor to restart levothyroxine.