OK, don't take this the wrong way but
but my partner offers me biscuits and when I say no he gets offended and I feel like I have to eat them to please him.
Your partner needs to grow up and think about you, and you need to stop doing things you know are detrimental to your health just to please him. You have to think of yourself. You have Hashimoto's, you will be hypothyroid for life and you need to deal with it or remain unwell and unsupported and I promise you that you will feel like sh1te if you do. Get your partner to buy you some gluten free biscuits (but check the ingredients, apparently commercial gluten free products aren't the tastiest) or he could bake you some from a gluten free recipe!
TPO antibodies 376 (<34)
TG antibodies 804.5 (<115)
Yes, your high antibodies mean that you are positive for autoimmune thyroid disease aka Hashimoto's which is where antibodies attack the thyroid and gradually destroy it. The antibody attacks cause fluctuations in symptoms and test results. Most doctors dismiss antibodies as being of no importance and know little or nothing about Hashi's and how it affects the patient, test results and symptoms. You need to read, learn, understand and help yourself where Hashi's is concerned.
You can help reduce the antibodies by adopting a strict gluten free diet (regardless of what your partner says or thinks, it's your Hashi's not his so he doesn't know how you feel). A gluten free diet has helped many members here. Gluten contains gliadin (a protein) which is thought to trigger autoimmune attacks so eliminating gluten can help reduce these attacks. You don't need to be gluten sensitive or have Coeliac disease for a gluten free diet to help.
Supplementing with selenium l-selenomethionine 200mcg daily can also help reduce the antibodies, as can keeping TSH suppressed.
Gluten/thyroid connection: chriskresser.com/the-gluten...
Hashi's and gut absorption problems tend to go hand in hand and can very often result in low nutrient levels or deficiencies and we can see that this has happened to you.
Ferritin 31 (30 - 400)
For thyroid hormone to work (that's our own as well as replacement hormone) ferritin needs to be at least 70, preferably half way through range. You need an iron supplement and as your level is so low you should ask for an iron infusion which will raise your level within 24-48 hours, tablets will take many months. You can also 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...
However, as your ferritin is just 1 point within the range, you need an iron panel and full blood count. Low ferritin can suggest iron deficiency anaemia and you need to know if you have that and get it treated.
Folate 2.3 (4.6 - 18.7) Vitamin B12 184 (180 - 900) Taking folic acid 5mg
Did your GP check for signs of B12 deficiency before starting the folic acid? With a B12 level that low he should have done - check here now b12deficiency.info/signs-an... then post on the Pernicious Anaemia Society forum for further advice healthunlocked.com/pasoc quoting your folate/B12/ferritin results, iron deficiency information if you already have it and any signs of B12 deficiency you may be experiencing from the list linked to. I think you will need testing for Pernicious Anaemia, you may need B12 injections. Folic acid should not be taken until after further investigations have been carried out as it can mask signs of B12 deficiency, and B12 should be started before folic acid. Please seek further infomation from the PA forum here, go to their page, click FOLLOW and you will be able to post.
I have read (but not researched so don't have links) that BCSH, UKNEQAS and NICE guidelines recommend:
"In the presence of discordance between test results and strong clinical features of deficiency, treatment should not be delayed to avoid neurological impairment."
And 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."
Total 25 OH vitamin D 35.5
25 - 50 deficient
50 - 75 suboptimal
1000iu D3 only
Your 1000iu D3 is inadequate to raise your level. You are just 5.5 away from where you would have been prescribed loading doses.
The Vit D Council recommends a level of 100-150nmol/L.
You are unlikely to be given a prescription for a higher dose of D3 so my suggestion is to just buy your own and take the equivalent of the loading doses for 3 months and then retest.
NICE Clinical Knowledge Summary recommends loading doses totalling 280,000-300,000iu for levels below 30 cks.nice.org.uk/vitamin-d-d...
so my suggestion would be to buy some BetterYou oral spray as you have Hashi's as it will be absorbed better than softgels or capsules. It comes in 3000iu dose so triple dose (9000iu daily) for 4 weeks (giving 277,000iu in total) then reduce to 6000iu daily and retest 3 months after starting with City Assays who do a home fingerprick blood spot test vitamindtest.org.uk/
When you have reached the recommended level then 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.
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 helps D3 to work and 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.
If you check out SlowDragon's reply to this post, there are links and information to help deal with absorption problems. You need nutrient levels to be optimal for thyroid hormone to work properly, and addressing the absorption problem is necessary so that nutrients can be absorbed healthunlocked.com/thyroidu...
I hope your partner can be more supportive in the future.