Your FT4 is in a good place - 79% through range (you've put the wrong range, it's 12-22). Your FT3 is too low and only 27% through range so is not balanced with FT4. Results suggest poor conversion.
Good conversion relies on optimal nutrient levels. Have you tested:
Vit D
B12
Folate
Ferritin
Your raised TPO antibodies suggest Hashi's. There is no treatment for Hashi's, it's the resulting hypothyroidism that is treated.
You can possibly help reduce the antibodies by adopting a strict gluten free diet which 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.
Hashi's and gut absorption problems tend to go hand in hand and can very often result in low nutrient levels or deficiencies. If not tested then it's essential to get those vitamins tested I have listed above.
I have been gluten free for nearly two years now and have cut out dairy but still hasn't made any difference I am low on vitamin d so will get some supplements for that when is the best time to take vitamin D before your thyroxine or after? I'm wonder if I am on the right meds a lot of people rave about the armour medication
You need to make sure you take the correct amount of Vit D. What's your level? And there are important cofactors needed when taking D3.
D3 should be taken 4 hours away from thyroid meds.
You need all your nutrients optimal for any thyroid hormone to work, if ferritin is below 70 then it needs raising, so important to get nutrients right.
Armour or other NDT suit some people very well. Armour is very expensive compared to other brands of NDT. I tried Armour and generic NDT about 20 years ago, it just didn't do it for me. I do well enough on a combination of Levo and synthetic T3, you can adjust the dose of each hormone, NDT has a fixed dose of each which doesn't suit everyone. NDT is generally a ratio of 4.22 : 1 T4:T3 and my combination of Levo:T3 is 6.25 : 1
Active B12 below 70 suggests testing for B12 deficiency. Yours is over this limit but personally I would want mine higher.
Folate is at the very bottom of the range, you could discuss with your GP and he may consider prescribing folic acid. Otherwise you could supplement with a good B Complex containing 400mcg methyfolate. Consider Thorne Basic B or Igennus Super B. These also contain B12 in methylcobalamin form and this will help raise your B12 level. Leave off B Complex containing Biotin (B7) for 3-5 days before any blood tests as it can give false results.
Vitamin D 61.7nmol/L (equals 24.68ng/ml) The Vit D Council recommends a level of 125nmol/L [50ng/ml] and the Vit D Society recommends a level between 100-150nmol/L [40-60ng/ml]. The Vit D Council suggests for your current level, to reach the recommended level, supplementing with 3,700iu D3 daily. Nearest equivalent is 4,000iu. However, as you have Hashi's then for best absorption an oral spray is recommended as it bypasses the stomach, eg BetterYou.
Retest after 3 months then you'll need a maintenance dose which may be 2000iu daily, maybe more or less, maybe less in summer than winter, 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 an NHS lab which offers this test to the general public:
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 such as hardening of the arteries, kidney stones, etc.
D3 and K2 are fat soluble so should be taken with the fattiest meal of the day, D3 four hours away from thyroid meds if taking tablets/capsules/softgels, no necessity if using an oral spray
Magnesium helps D3 to work. We need Magnesium so that the body utilises D3, it's required to convert Vit D into it's active form. So it's important we ensure we take magnesium when supplementing with D3.
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 if taking tablets/capsules, no necessity if using topical forms of magnesium.
That should be fine. If you don't supplement, eat liver, liver pate or black pudding occasionally to maintain your level, or check other iron rich foods which can be included in your diet.
I have seen my doc to talk abour my blood test and he want to reduce my thyroxine to 7g instead of 1oomgdoes that sound right how do you get private medication?
Also I have got my vitamin D3 with the K in so when would be the best time to take it?
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