Your GP is useless and extremely negligent.
TPO antibodies are so high BECAUSE you are under medicated. Getting TSH down, by increasing dose of Levothyroxine with LOWER antibodies
Is there another GP you can see?
How much Levothyroxine are you taking?
You need immediate 25mcg dose increase and bloods retested in 6-8 weeks after each dose increase. 25mcg dose increases until TSH is around one and FT4 towards top of range and FT3 at least half way in range
Your vitamin levels are some of the worst, your B12 especially
Can you post these on PAS healthunlocked
I think you need considerabley more frequent B12 injections to start with.
They are the B12 experts
Vitamin D - 800iu in NOT HIGH ENOUGH DOSE
You need loading dose
Look up your local CCG guidelines
Your ferritin is dire
At very MINIMUM you need ferrous fumerate 3 times daily. Really an iron infusion would give more immediate improvement
See these detailed supplements advice from SeasideSusie on Low vitamins due to under medication
Ask different GP to test for blood test for coeliac disease too
Hashimoto's affects the gut and leads to low stomach acid and then low vitamin levels
Low vitamin levels affect Thyroid hormone working
Poor gut function can lead leaky gut (literally holes in gut wall) this can cause food intolerances. Most common by far is gluten
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
Ask GP for coeliac blood test first
Dr Toft, past president of the British Thyroid Association and leading endocrinologist, states in Pulse Magazine,
"The appropriate dose of levothyroxine is that which restores euthyroidism and serum TSH to the lower part of the reference range - 0.2-0.5mU/l.
In this case, free thyroxine is likely to be in the upper part of its reference range or even slightly elevated – 18-22pmol/l.
Most patients will feel well in that circumstance. But some need a higher dose of levothyroxine to suppress serum TSH and then the serum-free T4 concentration will be elevated at around 24-28pmol/l.
This 'exogenous subclinical hyperthyroidism' is not dangerous as long as serum T3 is unequivocally normal – that is, serum total around T3 1.7nmol/l (reference range 1.0-2.2nmol/l)."
You can obtain a copy of the articles from Thyroid UK email print it and highlight question 6 to show your doctor
please email Dionne: