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Your thyroid levels appear to be off despite taking the pill. A TSH level of 16 is excessive, this may mean that the amount of the medication your body needs is different. The general signs of a mismanaged thyroid include tiredness, changes in weight, and feeling cold. For better management, it is recommended that you have a discussion with your doctor concerning the adjustment of your medicine.

An elevated thyroid-stimulating hormone may indicate an underactive thyroid, which can lead to fatigue or weight gain. The elevated blood sugar level points towards potential insulin resistance, often linked to lifestyle factors like diet and exercise. The mildly high hemoglobin A1c indicates you're in the prediabetes range. I recommend focusing on a balanced diet rich in fruits, vegetables, and whole grains, alongside regular physical activity. It’s also important to consult a healthcare professional for an in-depth evaluation and tailored advice. They can provide the best guidance moving forward.