@sk123
Your problems go far beyond iron, carnitine and thyroid. I read through your previous posts and test results...Who did this test for you and what are their recommendations?
Some thoughts:
First, your gut. Have you tried a grain free, dairy free, heavy vegetable, ketogenic diet? High quality probiotic daily (HLC, Xymogen ProbioMax, Prescript Assist, Dr. Ohhira), fermented foods, and digestive enzymes.
Ask your doctor about B5, acetyl CoA, pyruvate, and your Krebs cycle. Looks like some problems there, impacting energy production.
Looks like your methylation and glutathione production are in the basement. Need to get it all working again.
If your glutathione has been low for a long time, which is likely, I'd wonder about how much toxicity you have... arsenic, cadmium, lead, mercury, etc. It's likely on your fat, bones, brain, and particularly, in your mitochondria. This can impact ATP production.
A Doctors Data 6 hour Provoked Urine Heavy Metals test, with some combo of DMSA, DMPS, or EDTA would be valuable.
You're low in all the main methylation nutrients:
B12 (probably methyl, adenosyl, and some hydroxy)
5-MTHF (folate)
Riboflavin (B2)
Pyridoxal-5-phosphate (B6)
Either what you're doing is simply not enough, or your gut isn't working well enough or both. You might consider injectibles.
Low cholesterol and odd iron could mean chronic infection. With chlamydia pneumoniae, B12 and B6 can be getting sucked up fast, so you may need very large doses (I take 10mg B12 and 350mg P5P daily...).
Have you been tested for Lyme, mycoplasma, and viruses?
As homocysteine is low, how is l-methionine? Did I miss it? You may need to supplement it over TMG to overcome a methyl trap.
And how are cell membranes? Maybe look up Garth Nicholson and CFS or chronic infections, and try NT Factor.
Lots to think about. I hope your doctor can help you sort through the cluster, prioritize, and get you going on the path to wellness.