Well, she's lucky that they don't want until TSH reaches 10 in that country
Her FT4 and FT3 are very low in range so they need raising to at least 50%, probably more, and TSH need to get down to around 1.
25mcg is a very small starter dose, and really she should be retested after 6 weeks. I think one month is too short for a trial as it can take 6 weeks for the full effects of starting Levo to be felt.
As she has high antibodies then that confirms autoimmune thyroid disease aka Hashimoto's which is where the thyroid is attacked and gradually destroyed. Fluctuations in symptoms and test results is common with Hashi's. She
can possibly help reduce the antibodies by adopting a strict gluten free diet which has helped many members here, although there is no guarantee.
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.
Thank you. I am sure that she shall now join the TUK forum and learn from all the knowledge that is shared to educate members so we were are able to function. 🙏
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