Re: Another ten pound gain...please help
You need some new labs done to see what your free T3 and Free T4 levels are, you are still hypo from the sound of it. 50mcg is still a very low dose.
You do have treatment options. You can stick with the T4 med and raise it to see if you feel better, you can add some cytomel or you can go over to the natural desiccated thyroid, which can be Naturethroid or Westhroid or Erfa Thyroid from Canada, which is more plentiful and can be ordered with a US Dr's prescription. Either way, you need to get your levels up until you are relieved of your symptoms.