Your TSH of 16.48 suggests your thyroid levels are still not quite balanced, which can cause weakness and anxiety. I recommend consulting an endocrinologist to safely adjust your levothyroxine dose, especially considering your weight. Because you are underweight, a gastroenterologist referral could help rule out absorption issues. For diet, try nutrient-dense foods and always take your levothyroxine on an empty stomach, away from other supplements. Please consult your doctor.

Sweating, a fast pulse, feeling cold, and low blood pressure can occur due to dehydration, anxiety, infection, or a sudden drop in blood pressure. Rest for a while and drink enough fluids to stay hydrated. If the symptoms continue, worsen, or are associated with dizziness or fainting, seek medical advice immediately. Consult a doctor to check your blood pressure and identify the exact cause of the problem.

Yes, there could be a link. An elevated eosinophil count, nasal congestion, and a sore throat are classic signs of an allergic response, such as allergic rhinitis. Interestingly, beta-blockers like propranolol (Inderal) can sometimes cause or worsen nasal congestion as a side effect. While less common, some individuals can also experience allergic-like reactions to this medication. I recommend discussing these symptoms with your doctor. They can help determine if this is a common allergy or a reaction to your medication, and safely adjust your treatment plan if needed.

Stopping Inderal LA (propranolol) suddenly after seven years can cause rebound effects, including increased anxiety and muscle tremors that might affect your speech. Please contact your doctor right away to have this evaluated safely. They can help manage these withdrawal symptoms and explore alternative, gentler treatments for your hand tremors.

Taking Inderal (propranolol) will not typically affect your heart ultrasound (echocardiogram). However, because Inderal is a beta-blocker that lowers your heart rate, it can significantly affect your treadmill stress test by preventing your heart rate from reaching the necessary target. Please contact your doctor or the testing facility as soon as possible. They will guide you on whether you need to safely and temporarily pause taking your medication before the stress test. Do not stop taking your medication without their direct advice.

It is very common for anxiety to disrupt concentration and cause you to lose your train of thought during work interactions. To help, Cognitive Behavioral Therapy (CBT) is excellent for building communication confidence. For medical treatments, a doctor may suggest a beta-blocker (like propranolol) taken before meetings to ease physical anxiety symptoms, or daily medications like SSRIs (such as sertraline or escitalopram) to lower overall anxiety and naturally improve your focus. Please consult a healthcare professional to discuss these options and tailor a safe, effective plan for you.