Consequences of Unmanaged Hyperthyroidism

Dr Eric. My TSh has been running extremely low over the past 5 years. .024 a few months back. At some point I was get it to .35, with the herbs you recommend. But I have no symptoms of hyperthyroidism. My pulse runs in the 40s and 50s. My sleep isn't the best, that's it.
I'm very calm. You have advised me in the past to make sure I'm not glucose intolerant. I've discovered I'm on the verge of GI, withe a CGM. A great tool. 3 months ago I decided to cut my carbs to manage my glucose levels. As I result, my TSH in 3 weeks was at .78. The highest in years!!
The low carb diet has been a game chaner for me. Thank you for your guidance.

My alkaline phosphatase was at its highest and when I was diagnosed was at 484. Now it’s still 2 years later, and it’s now at 120. I do have osteoporosis of my spine. As it turns out, I am my mothers daughter. I found out she had graves ( after she died from an unrelated condition) and she also had osteoporosis of her spine.
I wasn’t sure how long I’ve had graves, but, I started sewing my own clothes 5 years ago. Those clothes haven’t fit me since I gained the 32lbs back once my thyroid levels were more controlled. When I compared the clothes I made to store bought when I gained the weight back, it really shocked me! I was size 0 @98lbs, now a size 6 @ 130, which is my normal range.

My T4 and T3is normal but my TSH is very low what I do to improve my TSH ?