Anti-Thyroidperoxidase abs <9.0 (<34 IU/mL New units)
Anti-Thyroglobulin Abs 11 (<115 IU/mL New units)
Vitamins
Vitamin D (25 OH) 54
Optimal 75-200 nmol/L
Adequate 50-<75
Insufficient 25 -<50
Deficient <25
Vitamin B12 H 700 (145 - 569 pmol/L)
Serum Folate 33.00 (8.83 - 60.8 nmol/L)
I just wanted to check my thinking with the hugely knowledge people in this forum as I'm making a few more dietary changes to maximise vitamins and minerals, cutting out gluten and limiting dairy, eating lots of veggies and oily fish and some red meat. I've added a D3 supplement 25ug). Should I ditch the red cabbage and broccoli?
Is there anything else I can be doing?
I'm trying not to leap to any conclusions till I have spoken with the Dr. but I am aware that the TSH, T4 and T3 could show central hypothyroidism.
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Kit_Monster
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This is on the low side. Ferritin is recommended to be half way through range (about 82 with that range) and some experts say that the optimal level for thyroid function is 90-110ug/L. Eating more iron rich foods should help, total amount of liver shouldn't exceed 200mcg per week due to it's high Vit A content.
That is only 1,000iu. That's just about a maintenance dose for someone who has a decent level already.
The Vit D Society and Grassroots Health recommend a level of 100-150nmol/L, with a recent blog post on Grassroots Health mentioning a study which recommends over 125nmol/L.
To reach the recommended level from your current level, you would be better supplementing with 4,000iu D3 daily. Retest around the end of March.
Once you've reached the recommended level then a maintenance dose will be needed 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. This can be done with a private fingerprick blood spot test with an NHS lab which offers this test to the general public:
Doctors don't know, because they're not taught much about nutrients, but there are important cofactors needed when taking D3. You will have to buy these yourself.
D3 aids absorption of calcium from food and Vit 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. 90-100mcg K2-MK7 is enough for up to 10,000iu D3.
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 D3 as tablets/capsules/softgels, no necessity if using an oral spray.
For D3 I like Doctor's Best D3 softgels, they are an oil based very small softgel which contains just two ingredients - D3 and extra virgin olive oil, a good quality, nice clean supplement which is budget friendly. Some people like BetterYou oral spray but this contains a lot of excipients and works out more expensive.
For Vit K2-MK7 I like Vitabay or Vegavero brands which contain the correct form of K2-MK7 - the "All Trans" form rather than the "Cis" form. The All Trans form is the bioactive form, a bit like methylfolate is the bioactive form of folic acid.
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, and large doses of D3 can induce depletion of magnesium. 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 magnesium as tablets/capsules, no necessity if using topical forms of magnesium.
I don't think there's any reason to do that unless you are eating an excessive amount on a daily basis.
I am aware that the TSH, T4 and T3 could show central hypothyroidism.
I think your FT4 may have to be at the very bottom of the range or below to consider central hypothyroidism, I suppose it depends on what the doctor considers to be "low" FT4 which is the criteria for suspecting CH.
You might find that it's better to order them from the internet, local high stree health stores don't tend to have the best supplements.
Don't start all supplements at once. Start with one, give it a week or two and if no adverse reaction then add the next one. Again, wait a week or two and if no adverse reaction add the next one. Continue like this. If you do have any adverse reaction then you will know what caused it.
Sorry only just seen this, I don't seem to get the notifications until a couple of days later even though I check most days. Your cortisol is on the low side but not badly so, it should be between 350-550nmol/Ls first thing in the morning. It would be worth asking for further testing for that by an Endocrinologist, they should do the short synacthen test & an ACTH blood test, the ACTH needs to go onto ice straight away.
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Help with results - TSH dropped
New Blood test results, trying to find a decent endocrinologist in Essex. please help
Results, but not convinced
T3 and T4 results
My blood results from Blue Horizon .. 
