Yulia - I'm not Hashi's so I'm not gluten free, but from what I read here some people find a difference quite quickly, others it can take months. Some people find they need to be dairy free, some say they've given up sugar and, of course, soy products in any form are a no-no for us hypos unless it's fermented soy.
TSH 0.624 (0.270-4.200)
TSH is really good, the aim for a treated hypo patient generally is for TSH to be 1 or below, unfortunately if your GP doses by TSH only then it will be hard to get an increase in your Levo.
This article in Pulse Online Magazine by Dr Toft, leading endocrinologist and past president of the British Thyroid Association might help, where he says
"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.
In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l. Most patients will feel well in that circumstance.
But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.
This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."
You can obtain a copy of the article by emailing email@example.com
Vitamin D - 24.99 ng/ml (ranges: 30.00 -70.00)
The recommended level, according to the Vit D Council is 40-60ng/ml. See their article on what dose of D3 you need to achieve this
Scroll down to
"My level is between 20-30 ng/ml"
and the table tells you what daily dose you need to achieve certain levels ie
To achieve 40 ng/ml - take 2000 IU
To achieve 50 ng/ml - take 3700 IU
To achieve 60 ng/ml - take 5800 IU
When taking D3 there are important cofactors needed which you can read about here
D3 aids absorption of calcium from food and K2-MK7 directs the calcium to bones and teeth where it is needed and away from arteries and soft tissues where it can be deposited and cause problems.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds.
Magnesium comes in different forms, check here to see which would suit you best and as it's calming it's best taken in the evening, four hours away from thyroid meds
Cortisol - 431.2 nmol/L (171-536)
I don't know enough about cortisol to comment.
Iron (serum) - 24.54 (6.60 -26.00)
Was ferritin tested? Was a full iron panel done?
Ferritin needs to be half way through it's range.
The others appear to be in range.
What about B12 and folate?
Some information about Hashi's that might help
I don't know anything about the supplement Wobenzym or whether that will affect the absorption of Levo. Hopefully you take this at least two hours away from your Levo.