Yes, thank you angel2006
As far as your thyroid results are concerned then TSH is actually in a good place but your GP might not like it because it's below the lower end of the reference range - that isn't a problem.
FT4 is in the upper third of it's range which is generally where many people find it's best.
Your problem lies with your FT3. That is generally best in the upper quarter of it's range (if that is where you feel best) and yours is just 27% through it's range. Your FT4:FT3 ratio is 4.9:1. Good conversion takes place at 4:1 or less. Both of these facts show that you aren't converting T4 to T3 anywhere near good enough. My suggestion (and I am not medically qualified, this is from my own experience) is that you probably need the addition of T3 to your Levo. You probably need to get your FT3 up to around 5.5+. It's unlikely that your GP will know any of this or agree to it. You may want to ask for a referral to an endo who are the ones who decide if you can have T3 and then your GP should take over prescribing it. However, there are fewer and fewer people getting T3 now because it is very expensive and many CCGs are no longer allowing it to be prescribed, although they are saying that it's because there is no evidence that it works.
However, conversion can't take place unless all the vitamins and minerals are at their optimal levels ie:
Ferritin - half way through it's range, with a minimum of 70 for thyroid hormone to work properly. Hair loss is a sign of low ferritin.
Vit D - the recommended level is 100-150nmil/L. Aches and pains are a sign of low Vit D.
B12 - at the top of it's range, even 900-1000.
Folalte - at least half way through it's range.
So you really need to know where your levels lie. If there are any deficiencies you should supplement to get them all to optimal levels - details in my previous post of where to get these done if your GP wont do them. It's also useful to know if antibodies are present as well, if you have autoimmune thyroid disease then a gluten free diet should help reduce the antibody attacks.
Personally, I would get these tests done before considering T3, because poor conversion might be happening purely because of deficiencies.
You could also supplement with selenium, 200mcg L-selenomethionine daily, as that helps with conversion of T4 to T3.
HbA1c is used when testing for diabetes. With yours at 49, and the range being <41, I would ask your GP why he has said no action is required. Please look at the table in this link diabetes.co.uk/what-is-hba1... under 'HbA1c in diagnosis' and ask your GP why he is ignoring your raised HbA1c.
GFR is to do with kidney function and your result is within range so no red flags there. However as diabetes is a risk factor in kidney disease, again discuss your HbA1c result with your GP in relation to your GFR result.