I decided to try a mid-week hospital visit this time in the hope it would be less crowded. Instead of the 500 hundred or so people that are there on a Saturday morning there was about 100 this morning. The only drawback was that I saw a different Doctor.
As I suspected, as I still spend a lot of time feeling exhausted, my medication needed to be increased. I now have to spend another two months waiting for this new level to stabilize. Given how slow this process is I am not convinced that my hormone levels will be correctly adjusted in time for the summer conference season. I am going to need to build in a lot of extra time to recover from the travel and the full days at the conferences.