I have thyroid illness TSH is 4.5, debilitating symptoms of menopause. Severe anxiety illness. Losing weight and tired. Reoccuring infections.?

Adjust thyroid and +. B"sd based on your TSH your thyroid status is a little low, so you should need some adjustment of your thyroid medication or make sure you are not missing doses as only a few missed pill per month can make a difference from great TSH ~ 1 to your value. Menopausal sx's and others need attention. Available to discuss details.