*TPO antibody 279 (<34)
*TG antibody 288.3 (<115)
Your high antibodies mean that you are positive for autoimmune thyroid disease aka Hashimoto's which is where antibodies attack the thyroid and gradually destroy it. The antibody attacks cause fluctuations in symptoms and test results.
You can help reduce the antibodies by adopting a strict gluten free diet which has helped many members here. Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks. You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.
Supplementing with selenium l-selenomethionine 200mcg daily can also help reduce the antibodies, as can keeping TSH suppressed.
Gluten/thyroid connection: chriskresser.com/the-gluten...
*MCV 77.8 (80 - 98)
*MCHC 385 (310 - 350)
Haemoglobin estimation 115 (115 - 150)
MCV 28.2 (28 - 32) - This should read MCH I believe
These results suggest iron deficiency anaemia. How much ferrous fumarate are you taking. The usual dose is one table two or three times daily.
Take each iron tablet with 1000mg Vitamin C to aid absorption and help prevent constipaton. Always take iron 4 hours away from thyroid meds and two hours away from other medication and supplements as it will affect absorption.
Ferritin 69 (30 - 400)
Ferritin should be half way through it's range. The ferrous fumarate, at the right dose, should help raise it, but you can also help it by eating liver regularly, maximum 200g per week due to it's high Vit A content, and eating lots of iron rich foods apjcn.nhri.org.tw/server/in...
*Folate 1.5 (2.5 - 19.5)
Vitamin B12 217 (190 - 900)
You are folate deficient with very low B12. Do you have any signs of B12 deficiency b12deficiency.info/signs-an...
You should take these results over to the Pernicious Anaemia Society here on Health Unlocked for further advice. Also quote your ferritin and iron results and any signs of B12 deficiency healthunlocked.com/pasoc
Vitamin D 56.3 (50 - 75 suboptimal)
How much D3 have you been prescribed? If it is 800iu daily it's not enough, you need more like 5000iu daily so you will be better off buying your own softgels.
The recommended level, according to the Vit D Council, is 100-150nmol/L so you need to aim for that level and when you've reached it you need to find a sensible maintenance dose which may be 2000iu daily, it's trial and error so it's recommended to retest once or twice a year to keep within the recommended range. You can do this with a private fingerprick blood spot test with City Assays vitamindtest.org.uk/
There are important cofactors needed when taking D3
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 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
Check out the other cofactors too.
Thyroid hormone can't work unless all vitamins and minerals are at optimal levels.