What does this mean? low henoglobin 129, low mcv 77, low mch 25. also have high tsh 10.48, alt 62.

Hypothyroid, anemia: Low hemoglobin associated with a low MCV and MCH is usually related to iron deficiency. You should have an iron, tibc, ferritin level done. The high TSH implies a lowthyroid level. You need a free T4 level, and probably a higher dose of synthroid (thyroxine). Significant hypothyroidism can cause iron deficiency anemia, but other causes need to be investigated. The high alt implies a liver problem.