High TPO indicates autoimmune thyroid disease, either graves/hyper or Hashimotos/hypo. Can you post the reference ranges from your labs?
Your TSH level of 101 indicates that you are very hypo, but I agree that we would need the reference range for the FT4. With a TPOab level of 1300, I would say you have Hashimoto's Thyroiditis and you could have some major inflammation.
You will need to wait a few weeks to let the increase in med take effect, then retest; when you retest, try to get your doctor to test FT3 as well, since that's the actual biologically active thyroid hormone and correlates best with symptoms.
I also think a thyroid ultra sound is definitely called for.
Thank you for your advice and help,, i have felt so very unwell. I have an appointment with a consultant on friday 19th november. I have no blood reports with me they are now with the consultant i am going to see. I am feeling so unwell,, how do they treat Hashimotos and do you think the TPOab will return to normal?
Hashimoto's is treated the same as hypothyroidism - basically, you go hypo because the Hashi's is destroying your thyroid so it can no longer produce the hormones you need. Depending on your symptoms, there are some vitamins/minerals that "may" help you to feel better.
The antibodies may fluctuate a bit, but they won't go away. When there is no healthy thyroid tissue left, they will go into remission, so the levels should come down then. Once you have Hashi's, you have it for life.
It often takes a while before we get to feeling better, but once you get your thyroid levels stabilized, hopefully, you will see a huge change in the way you feel. I've been on med for nearly 3 yrs and have only recently gotten to feeling somewhat "normal" again.
You should always keep a copy of your lab reports for your own records; that way you can keep track of your levels, the med/dosage you are on and what symptoms you had at the time of the draw; this will help you determine your "target" levels (i.e. those levels at which you feel the best and want to maintain).