Your vitamin levels are pretty rubbish, which is definitely not helping and you may find improving these really helps
Improving these is first step, then you probably need to try strictly gluten free diet for 3-6 months. If you find it helps stick on it
Active B12 is not too bad.
Folate is very low. Supplementing a good quality daily vitamin B complex, one with folate in not folic acid, should help. Eg Igennus Super B complex or Jarrow B-right
If you are taking vitamin B complex, or any supplements containing biotin, remember to stop these 3-5 days before any blood tests, as biotin can falsely affect test results
Vitamin D is too low. Aiming to improve to around 100nmol
Vitamin D mouth spray by Better You is good as avoids poor gut function. Suggest you supplement at 2000-3000iu for 2-3 months and retest. It's trial and error what dose each person needs.
Once you Improve level, very likely you will need on going maintenance dose to keep it there.
Ferritin is not too bad. Eating liver or liver pate once a week should help keep level up
Thyroid results
All thyroid tests should ideally be done as early as possible in morning and fasting. When on Levothyroxine, take last dose 24 hours prior to test, and take next dose straight after test. This gives highest TSH, lowest FT4 and most consistent results. (Patient to patient tip, GP will be unaware)
Is this how you did the test?
Your TSH is quite high, but FT4 is at top of range, so probably don't want to increase dose of Levo yet, until vitamins are improved
On plus side you seem a good converter as FT3 is pretty good
Only add one vitamin supplement at a time or make one change at a time or you can't assess what helps most
Probably improving vitamin D first
Then vitamin B complex
Then try gluten free diet
Getting full blood retested in 2-3 months ...And see where you are then
Good advice thanks, yes I did the test fasting, first thing in the morning before taking the levothyroxine. I'll start with one of the vitamins this week.
My plan, because I'm pretty positive I have low stomach acid was to cut down the pantoprozale and start with ACV and water before meals. The stomach issues are the biggest pain at the moment. What do you think?
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