You left too long between your last dose of Thyrovanz and your test, when taking NDT (or glandulars mean to have the same effect as NDT) then last dose should bwe 8-12 hours before the test. Leaving too long means that the hormone results - FT4/FT3 will show a false low. However, even allowing for the time gap being too long, it would seem that there is room to increase your dose.
**
Looking at your previous posts it appears that you already know that you have Hashi's and have been given some information about that.
**
Vit D 48.5 (50-175)
How much D3 are you taking? Are you taking D3's important cofactors - magnesium and Vit K2-MK7? Magnesium helps the body use D3.
This result suggests that you should be taking 5,000iu D3 and retest in 3 months' time. The Vit D Council recommends a level of 125nmol/Land the Vit D Society recommends a level of 100-150nmol/L. When you've reached that level 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:
There's no point in spending money on a reverse T3 test. If it was over range then it can't tell us the reason why, and there are many, many reasons for high rT3 not connected to the thyroid. If it was connected to thyroid then a high FT4 and low FT3 would show this.
**
Ferritin 48.2 (13-150)
Ferritin is recommended to be half way through range. You can help raise your level by eating liver regularly, maximum 200g per week due to it's high Vit A content, also liver pate, black pudding, and including lots of iron rich foods in your diet
These are just about approaching OK. I'd want Active B12 over 100 and folate in double figures. You might want to consider a good quality B Complex and take it a few days a week (consider Thorne Basic B or Igennus Super B).
Serum iron: 55 to 70% of the range, higher end for men - yours is 55%
Saturation: optimal is 35 to 45%, higher end for men - yours is 31.47%
TIBC: Low in range indicates lack of capacity for additional iron, High in range indicates body's need for supplemental iron - yours is near the higher end
I would say there's no real cause for concern with your iron panel and that eating liver will probably be all that's needed.
**
I am not medically qualified, my reply is based on my own experience and optimising my own results.
When taking a B12 supplement, we also need a B Complex to balance all the B vitamins so you should have been taking that also. If you get a B Complex with 400mcg methycobalamin that will be plenty, it will maintain, maybe even increase, your B12 level as well as giving you the methylfolate to improve your folate level.
As for a Vit D spray, it's suggested that it's best for Hashi's patients as it bypasses the gut; however, there are some Hashi's patients who have done well with an oil based softgel. I can't speak from personal experience with a Vit D spray as there are too many excipients for me to consider using it, I prefer "cleaner" supplements with little or no excipients, but I don't have Hashi's so haven't had a problem with absorption.
Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.
Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.
Blood Results and advice
Blood Test Results - Newly Diagnosed Hypothyroidism & TTC
Latest Results
Blood test results 
