THYROID STIMULATING HORMONE 1.92 mIU/L 0.27 - 4.20
FREE THYROXINE 22.7 pmol/L 12.00 - 22.00
TOTAL THYROXINE (T4) 112.0 nmol/L 59.00 - 154.00
FREE T3 4.72 pmol/L 3.10 - 6.80
As you're currently taking 75mcg Levo, I'd normally say your TSH suggests that you need an increase. However, your FT4 is very slightly over range and taking more Levo to reduce TSH will push your FT4 further over range with the risk of then making rT3. With your FT3 at 4.72 it really is very low in range compared to your FT4 and suggests that adding some T3 would be a good idea. Adding some T3 will increase your FT3 and often, when taking T3, TSH lowers (and can become suppressed) and FT4 can sometimes lower too.
Saying that, getting T3 on the NHS is extremely difficult.
THYROGLOBULIN ANTIBODY 416.000 IU/mL 0.00 - 115.00
THYROID PEROXIDASE ANTIBODIES 104 IU/mL 0.00 - 34.00
Clutter mentioned further up that it can take a year for the gut to heal and it may be that your antibodies are lower this time due to their natural fluctuation rather than healing already taking place. To help reduce antibodies, besides being gluten free, supplementing with selenium l-selenomethionine 200mcg daily can also help, as can keeping TSH suppressed.
A couple of links I always pass on:
Vit D 71 nmol/L 50 - 250 nmol/L
The Vit D Council recommend a level of 100-150nmol/L. There's room for improvement and my suggestion would be to look at taing 2000-3000iu daily for 3 months then retest. As you have Hashi's, I understand that a Vit D spray is absorbed better than softgels as it will bypass the stomach. SlowDragon recommends BetterYou so you could have a look at that.
When supplementing with D3, we need 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 for £28 if you're not doing other tests with Medichecks or Blue Horizon at the time 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.
Folate 14.3 ug/l 3.9-26.8 ug/l B12 575 ng/l 197 - 771 ng/l
Folate is very close to the recommended level, which is at least half way through it's range, so that's pretty good. B12 isn't too bad although an extract from the book, "Could it be B12?" by Sally M. Pacholok states:
"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."
Personally, I would nudge it up a bit and get it to the very top of the range at least, and to self supplement you will need sublingual methylcobalamin lozenges 1000mcg daily, along with a good quality B Complex to balance all the B vitamins.
Steer clear of own brand H&B, Boots and supermarkets, best quality comes from the internet and I personally like Thorne Basic B.
Ferritin 72 ug/l 30 - 400 ug/l
For thyroid hormone to work ferritin needs to be at least 70, so you have achieved that, but it's recommended to be through range so you could either take an iron supplement (such a faff to fit in around Levo and other supplements as you need to take them 4 hours away from Levo and 2 hours away from other supplements, along with1 000mg Vit C each time to aid absorption and help prevent constipation) or ou can help raise your level 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... I raised mine from 35 to 91 just by eating liver every week.