Also your Vitamin D3 level is 40 which is almost normal. Anyway if you want to raise it further then you can take mega dose of Vitamin D3. PM'ing you the brand name of one popular one sold in India. Cost is very less like around 20 INR and dose is 60,000 IU in one sachet. Only take 1 during the week and it will almost increase your Vitamin D3 levels 10 units up. So if you need to raise 20 units up then simply buy 2 sachets and take one in a week and next sachet on next week and done.
Natural dessicated thyroid NDT is not available in India but you can order it from another country, PM'ing you the info regarding how to get it.
If unable to raise your Vitamin D level with daily supplements, you may have to try weekly injections of D, about 50,000IU to get you started.
Sending PM with info. To access, just click on your name and then from your personal page, click on messages.
Wow. So many lab tests. Your doctor must have part ownership of the lab. LOL I know very little about most of them, so I'll leave those to you and your doctor. What I do see is that your Free T4 is at only 43 % of its range, even though you are taking 125 of Thyronorm. Also, your Free T3 is only at 48% of its range. So you need a dose increase to get your Free T4 above midrange, and you need to get your Free T3 high enough in its range to relieve hypo symptoms. That may require the addition of some T3 to your med. If the doctor cannot prescribe, I know of a possible source for you.
In view of your symptoms, I think your morning cortisol level is even more important. Due to the natural rhythm of cortisol levels, it is highest in the early morning and very low in the evening. Even though your morning cortisol is within range, based on what I have learned, I believe it is too low in the range and that is the likely cause for your body aches. It would be easy to confirm this by taking some hydrocortisone tablets in the morning and then less at noon and also late in the day. If the aches are due to cortisol you would notice the effect within days. Do you think your doctor might be agreeable to try this?
Lab results and associated reference ranges calculated by the lab can be different from one lab to another. That likely is the reason for the difference in Free T4 levels. Note however that both are over the high end of the range.
At this point I think you need to be tested for Free T3, to see where you are in that range. As mentioned previously I also think you need to test for Reverse T3 at the same blood draw as the Free T3. And last, even though your morning serum cortisol test was within the range, that does not mean all is okay. That test is for total cortisol, and also hard to interpret by itself. If possible it would be far better to test for free cortisol, by doing the diurnal saliva cortisol test at different times of the day. I don't know if the Reverse T3 and saliva cortisol tests are available to you, but in view of the symptoms you have, I highly suggest finding out it you can get those done.
Sorry to keep asking questions instead of answering yours; however, I need to be sure of a couple of things. First were you taking the 125 mcg of Thyronorm when tested in Aug. 2015? Was your dosage decreased, since I see that your Free T4 was lower in the first test data you posted 11/3, which I assume is the latest test data? What symptoms were you having in Aug. 2015 compared to current?
What was your latest Free T3 result and reference range?
No, Reverse T3 cannot be calculated from Free T4 and Free T3. It has to be tested separately and should be done from same blood draw as a Free T3.
My biggest concern for you right now is that you do not know your Free T3 level. If your body is not adequately converting the T4 to T3, then your Free T3 may be too low in the range, even though your Free T4 is above range. So first thing I would do is get tested for Free T3. If possible I would also request to be tested for Reverse T3 at the same time. So you think you can get those done?
What is your thyroid med and daily dosage?
Please post your latest thyroid related test results and reference ranges shown on the lab report. Also, I think you need to be tested for morning serum cortisol.