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But since I never dropped back to the massive levels of fatigue I was previously feeling, I havent felt it was something to continue using since those ended

What is the appropriate evaluation and management for a 45-year-old woman with Hashimoto's thyroiditis, two thyroid nodules, throat pain after consuming legumes or protein, premenstrual constipation, fatigue, anemia with low ferritin, eosinophilia, and who is currently taking levothyroxine 25 g, a multivitamin (UdLite), a protonpump inhibitor (Rablet 10 mg), vitamin D, and monthly vitamin B12 injections?