Your TSH is low because you're taking T3. Your FT4 is low because you aren't taking any. Your FT3 is only good if you feel well. If you still have hypo symptoms, then you need and increase in dose.
Your B12 is a bit low - should be at least over 500. Your folate should be about mid-range. As should your ferritin. These lowish nutrients could be making your feel tired, but try a 6.25 mcg increase in T3 - as well as optimising your nutrients.
maxart Is that 10,000iu D3 daily? That's a heck of a continuing dose, it's normally given for a boost then lowered to a maintenance dose.
Have you retested recently? You should retest once or twice a year when supplementing to keep within the Vit D Council's recommended range of 100-150nmol/L
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
I re-tested a couple of months ago and was 170 against a range of 50-200. I take it in the morning with a fat-based breakfast (I’m grain free and low carb, although veggie) and take T3 at night.
Magnesium... I was making my own magnesium water, which was brilliant, so need to start again.
If not then you need to improve your B12. 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."
Sublingual methylcobalamin lozenges are what's needed if you wish to self supplement, start with 5000mcg daily, finish the bottle then change to 1000mcg daily as maintenance, along with a good quality B Complex to balance all the B vitamins.
I'd suggest Thorne Basic B which contains 400mcg methylfolate which will help raise your folate level, which should be at least half way through it's range.
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Ferritin is just at the level where thyroid hormone will work, which is 70. You might want to maintain this by eating liver regularly (no more than 200g per week) and include iron rich foods in your diet apjcn.nhri.org.tw/server/in...
CRP is a bit over range. Could you have maybe had an infection at the time, or something else causing inflammation?
I mentioned Vit D in my reply above, 10,000iu daily is quite concerning. A maintenance dose would be nearer 2000iu daily once the recommended level is reached. Too much and it becomes toxic as it gets stored due to it being fat soluble and not excreted like water soluble vitamins.
Re inflammation, I have chronic gastrointestinal issues and autoimmune symptoms, made much much better by being grain free. But, it’s not yet totally sorted and I’m surprised the crp wasn’t higher. I suspect nightshades are the culprit!
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