Thyroid peroxidase antibodies are positive for autoimmune thyroid disease (Hashimoto's) which causes 90% of hypothyroidism in the UK, Europe, USA and Canada. 100% gluten-free diet may improve symptoms and reduce antibodies.
There isn't actually a vitD result there. Inadequate means vitD is <75 which is optimal. If you can post the result which is likely to be between 40 and 70nmol/L I'll advise what dose D3 you need to supplement.
Alfacalcidol is a combined calcium and vitamin D supplement which hasn't been detected as you aren't taking it.
I am not a medical professional and this information is not intended to be a substitute for medical guidance from your own doctor. Please check with your personal physician before applying any of these suggestions.
vitD 40 is inadequate. Supplement D3 5,000iu daily for 2-3 months then reduce to 5,000iu alternate days and retest in 6 months. Take vitD with the fattiest meal of the day to aid absorption and take it 4 hours away from Levothyroxine.
Most people on Levothyroxine feel well with TSH 1.0 or lower and FT4 higher in range. Read Treatment Options in thyroiduk.org.uk/tuk/about_... Email louise.warvill@thyroiduk.org.uk if you would like a copy of the Pulse article to show your GP when you request a dose increase.
B12 is optimal around 1,000. Supplement 5,000mcg methylcobalamin for 2-3 months and then reduce to 1,000mcg as a maintenance dose. Take a B Complex vitamin too.
Folate is a bit low. Supplement 400mcg folic acid or methylfolate for 2-3 months.
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