POTS & Hashis Question

Age: 34

Sex: F

Height: 5’5”

Weight: 155

Race: Caucasian

Duration of complaint: 2 years/2-3 mos

Location: Virginia, USA

Any existing relevant medical issues: Hashimotos, POTS, migraines, panic disorder, anxiety, depression, eosinophilic esophagitis, Barrett’s esophagus

Current medications: synthroid 112mcg, Zepbound 5mg, lamotrigine 75mg, trintellix 25mg, metoprolol 25mg xr, clonazepam 0.5mg, potassium 10meq

Okay this is two fold.

One: is there ANYTHING I can do about my antibodies (TPO) being over 900? It’s been this way for two-ish years now. What symptoms could this cause? I don’t know why I’m the only one concerned about it. I guess if the doctors aren’t maybe I shouldn’t be.

Two: POTS, recently diagnosed, and in the morning it flares pretty bad sometimes. When I pack my lunch standing in the kitchen, not lifting or moving much, my heart rate jumps anywhere between 130 to 160. It’s becoming a real issue for me when I’m trying to get to work. I also get tunneling vision sometimes and for the first time I pretty much passed out and I’m lucky my husband was right there and caught me. I’m on 25mg metoprolol xr. They don’t want to increase bc I tend to have low blood pressure.