You know from replies to your previous posts on the forum that TSH should be in the lower part of the reference range, and Dr Toft's article was quoted to you with a suggestion that you obtain a copy from Dionne at ThyroidUK to discuss with your GP. That advice still stands, TSH below and FT4/FT3 in the upper part of the reference range if that is where you feel well.
Normally we would see TPO antibodies over range to confirm autoimmune thyroid disease but yours aren't low enough to completely discount it, and your raised Tg antibodies suggest that you might have Hashimoto's which is where the immune system attacks the thyroid and gradually destroys it. Tg antibodies can be raised for other reasons but my guess is that you do have Hashi's.
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.
Some members have found that adopting a strict gluten free diet can help, 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.
If no signs of B12 deficiency then you could supplement with a good quality B Complex containing methylfolate and methylcobalamin to raise your folate and B12 levels. Consider Thorne Basic B or Igennus Super B, both contain bioactive ingredients.
Active Vitamin D - 57.5 nmol/L (Range: 50 - 175)
= 23ng/ml
This is low. The Vit D Council recommends a level of 125nmol/L (50ng/ml) and the Vit D Society recommends a level of 100-150nmol/L (40-60ng/ml).
To reach the recommended level from your current level the Vit D Council suggests supplementing with 3,700iu D3 daily
As you very likely have Hashi's, for best absorption it's recommended to use an oral spray, eg BetterYou, or sublingual drops, eg Vitabay Organics, as these bypass the gut.
Retest after 3 months.
When you've reached the recommended amount then you'll need a maintenance dose to keep it there, 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:
Your GP won't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3 as recommended by the Vit D Council -
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.
Check out the other cofactors too (some of which can be obtained from food).
Don't start all supplements at the same time. Start with one, leave it 1-2 weeks and if no adverse reaction then add the second one. Continue like this. If you have any reaction then you will know what caused it.
There's nothing confusing about these results (assuming you are already taking Levothyroxine?). This is a clear case of undermedication.
The TSH is raised, showing the body is asking for more. Most people on Levo will need a freeT4 right at the top of the range, and yours has a long way to go.
Treat your vitamin deficiencies, as these will be causing symptoms, and you need good levels to process thyroid hormone properly.
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