Thanks for your kind words.
If our thyroid hormone levels haven't been optimized for us, we'll have various issues - the severity of which are often determined by how "off" our levels are for our individual needs.
There's not much we can do to stop our disease course....the best we can do is to make sure our thyroid hormone levels have been optimized for our own particular needs. Otherwise, the body struggles to restore homeostasis....and, this can increase antibody production.
I know that, when I was horribly over-medicated on anti-thyroid drugs (thanks to clueless endo #2), I had elevated cholesterol and blood glucose levels for the first time in my life. Thankfully, all resolved and stay resolved since I learned what I needed to know to feel well while having thyroid disease.
While you may not be happy with the improvement you've had thus far, you could very well have improvement that isn't just measured by numbers. (and, really, you've tripled your HDL - kudos to you!)
Unfortunately, even with a reduction in antibody titers, it doesn't seem like that will reduce our need for thyroid hormone replacement...the damage is done and, truly, everyone has a different response to antibodies.
I've been taking selenium for a very long time (I'm sure you know it's been shown to reduce TPOab's). Well, I wasn't even testing positive for TPOab's when I first started taking it....now, I am. Maybe my level would be higher - who knows? We do the best we can with what we have.
I think a healthy lifestyle (good diet, regular exercise, healthy mindset) bodes well for everyone and, most especially, for those of us dealing with health issues.
I suspect that you will see an improvement in your cholesterol and blood glucose levels once your thyroid hormone levels have been optimized.
I have always exercised - just don't feel right if I don't. It was very difficult for me last summer as I was titrating up on my levo dose - I just couldn't maintain my regular level of intensity.
Now, that my thyroid hormone levels have been optimized and I've been able to maintain those levels, I'm actually seeking new exercise challenges...this makes me very happy
I think you're on the right track....it's "just" a matter of time before you'll reap the benefits of all your hard work.