Re: do I need a higher dose?
The best advise I can give you is to be patient. VERY patient. Here are some things to keep in mind:
Stay with each dose for 6-8 weeks before a blood test, unless your condition worsens, since it takes that long for levels to stabilize. A month is not long enough to determine the full effect of a dose change.
Keep in mind that TSH does not directly correlate with symptoms. Some people feel best with a TSH around 1 or so. A few have to have TSH VERY low, and a few have to have TSH above 2 to feel good.
Healing takes time. You may not like hearing this, but it may take months or even years for all of your symptoms to resolve once you are on the right dose. The longer you have been hypo (whether diagnosed or not) the longer it may take to get symptoms resolved.
Doses are highly individualized for each person. We can't tell you what dose to take, because it takes time and experimentation to determine what works best for you.
I know I didn't give you the answers that you probably wanted to hear, but I think it is better to be realistin in our expectations, and my advice comes from having conversations with hundreds of hypo patients and reading about thousands of them. Most of all, hang in there and ask questions. The more you know, the better you'll be prepared for the little setbacks, and the more you will appreciate the joys of healing.