serkaddis Too late for your appointment I'm afraid, but my comments are
TSH = 2.344IU/ml Range 0.35-4.94
Free T3=2.68pg/ml Range 1.71-3.71
FreeT4=0.86ng/dl Range 0.70-1.48
As mentioned you are undermedicated. The aim of a treated hypo patient generally is for TSH to be 1 or below or wherever is needed for FT4 and FT3 to be in the upper part of their respective reference ranges. You need an increase in dose.
Vit D =9.8ng/ml Range 20-100
According to the Vit D Council, the recommended level is 40-60ng/ml so you are severely deficient. As Startagaingirl has mentioned, you need loading doses of D3 followed by a maintenance dose when you reach the recommended level. I don't know where you live or what the protocol for treatment is there, but if you were in the UK the following would apply
(Your Vit D is measured in ng/ml. In the UK it is nmol/L so your level has to be multiplied by 2.5 to be the equivalent of ours. Your 9.8ng/ml is the same as 24.5nmol/L and would be classed as severely deficient)
Treat for vitamin D deficiency if serum 25-hydroxyvitamin D (25[OH]D) levels are less than 30 nmol/L.
For the treatment of vitamin D deficiency, the recommended treatment is based on fixed loading doses of vitamin D (up to a total of about 300,000 international units [IU]) given either as weekly or daily split doses, followed by lifelong maintenance treatment of about 800 IU a day. Higher doses of up to 2000 IU a day, occasionally up to 4000 IU a day, may be used for certain groups of people, for example those with malabsorption disorders. Several treatment regimens are available, including 50,000 IU once a week for 6 weeks (300,000 IU in total), 20,000 IU twice a week for 7 weeks (280,000 IU in total), or 4000 IU daily for 10 weeks (280,000 IU in total)."
Retesting is recommended once or twice a year when supplementing, to keep within the recommended range and maintenance dose should be altered as and when necessary to achieve this.
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.
Folate serum=3.5ng/ml Range 3.1-20.5
Vit B12 = 203pg/ml Range 134-605
Check to see if you have any signs of B12 deficiency b12deficiency.info/signs-an... If so please post on the Pernicious Anaemia Society forum here on Health Unlocked for further advice healthunlocked.com/pasoc
Folate should be at least half way through it's range and B12 at the top of it's range.
An extract from the book, "Could it be B12?" by Sally M. Pacholok:
"We believe that the 'normal' serum B12 threshold needs to be raised from 200 pg/ml to at least 450 pg/ml because deficiencies begin to appear in the cerebrospinal fluid below 550".
"For brain and nervous system health and prevention of disease in older adults, serum B12 levels should be maintained near or above 1000 pg/ml."
If you self supplement then you need sublingual methylcobalamin lozenges, 5000mcg daily to start and when the bottle is finished change to 1000mcg as a maintenance dose. A good B Complex is also needed to balance all the B Vitamins, buy one that contains methylfolate rather than folic acid.
Ferritin = 42.80 Range 4.63-204
Ferritin should be half way through it's range. If you take iron tablets then take each one 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. You can also ferritin by eating liver regularly, maximum 200g per week due to it's high Vit A content, and including lots of iron rich foods in your diet apjcn.nhri.org.tw/server/in...
All nutrient levels need to be optimal for thyroid hormone to work.