88mcg of Levo/Thyroxine won't even equal a full grain of NDT when everything settles. You will want to titrate up, ultimately aiming for a 50% to 80% area of the reference range with your Free T4 and Free T3. TSH "should" respond and get below 2.0UIU when your free serum levels increase. If you are not converting FT4 to FT3 adequately, you "need" to include Reverse T3 on your future labs. Also consider selenium and some form of iodine supplement if you have not looked into it already.
Please post your cortisol results when/if you have them(?). Hopefully you did a 24 hour saliva, not just a 1x blood test?
