Your friend is having to flog the thyroid gland with high TSH to produce T4. As I said before NHS won't usually diagnose hypothyroidism until TSH is >5.6 or FT4 <8.0.
Ferritin is optimal half way through range so your friend should supplement iron and take each tablet with 1,000mcg vitamin C to aid absorption and minimise constipation.
Your friend needs to find out what the vitD level is and supplement if it is <75nmol/L.
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