A: Your TSH is still a little bit elevated. You may want to get that TSH anywhere between 0.5 and 2. Therefore, you may consider optimizing your medication dosage. It might mean a slight increase in medications. I'm not sure if you're just taking this particular medication or if you're taking a combination with Armour Thyroid. In any case, make sure that you're not taking your medication with things that could contribute to decreased absorption.
I have an article on medications that is pretty comprehensive. Hopefully, that'll help you.
I also have an Optimizing Medications eBook, which should give you a little bit more guidance.
Adrenal issues can contribute to symptoms even when your thyroid is perfectly optimized, but your TSH still looks like it can benefit from a little bit of a higher dosage.