Although there may be odd cases where a compounded T3 product will be necessary (e.g. allergy to ingredients of all available products), there seems little reason to expect a compounded product to be better than a standard product. That is, if you just need 25 micrograms of T3, then you probably might as well use a commercial product.
After all, there is scope for far more testing (e.g. samples from every batch) when they are manufactured in bulk. So quality control could be better.
With Hashimoto's, until it's under control, our gut can be badly affected. Low stomach acid can lead to poor absorption of vitamins. Low vitamin levels stop thyroid hormones working.
Essential to test vitamin D, folate, ferritin and B12. Always get actual results and ranges. Post results when you have them, members can advise
Your vitamin D (USA units) and ferritin look good
According to Izabella Wentz the Thyroid Pharmacist approx 5% with Hashimoto's are coeliac, but over 80% find gluten free diet helps significantly. Either due to direct gluten intolerance (no test available) or due to leaky gut and gluten causing molecular mimicry (see Amy Myers link)
But don't be surprised that GP or endo never mention gut, gluten or low vitamins. Hashimoto's is very poorly understood
Changing to a strictly gluten free diet may help reduce symptoms, help gut heal and slowly lower TPO antibodies
Sometimes it's poorly iodised thyroglobulin that leaks out from thyroid gland causing high thyroglobulin antibodies as body tries to get rid of it. In that case reducing iodine intake can do the trick. That you can only find out by trying as it can't be tested.
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