A 24 hour fast? Really? Why? All that's needed is to fast overnight (so have evening meal as usual, no breakfast before blood draw), and to leave off Levo for 24 hours.
ferritin 122.0 30-400 range
Ferritin is recommended to be half way through it's range. You 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... which is far easier than faffing about with iron tablets.
Magnesium. 1.04. 0.6-1.0 range? (Elevated)
Are you supplementing? It's very unusual to have a high magnesium level, most people are low in range.
TSH 0.10 0.27 - 4.20 range
T4 total 113.0 64.5 - 142.0 range
Free T4 20.20 12.0 - 22.0 range
Free T3 4.44 3.1 - 6.8 range
Not much wrong there if you feel OK. GP wont like low TSH and slightly over range FT4, but FT3 is quite low in range in comparison. A slight lowering of Levo and adding some T3 could be helpful.
Anti-thyroid peroxidase <9 <34 range
Anti thyroglobulin Abs <10 <115 range
No sign of autoimmune thyroid disease with those results.
Vitamin D (25 OH) 43 Not taking any vitamin D supp.
You need to supplement, the level recommended by the Vit D Council is 100-150nmol/L. You could take 5000iu D3 for 8-10 weeks then retest. When you've reached the recommended level you'll need a 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.
Vitamin B12 364 Deficient <140
Insufficient 140 - 250
Reduce dosage >175
I'm not taking b12 Suppe so no idea why so high??
That doesn't make sense. If 140-250 is insufficient, then they wouldn't recommend reducing dose if >175. The >175 is actually the recommendation for Vit D. With B12 it says "Consider reducing dose >725"
So your B12 is low, not high.
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, 5000iu mcg daily to start and when the bottle is finished change to 1000mcg, along with a good quality B Complex to balance all the B vitamins.
Serum folate 12.20 8.83 - 60.8
Too low. Folate should be at least half way through range. If you get a good B Complex to go with your B12, such as Thorne Basic B, then that contains 400mcg methylfolate which will help raise your folate level.