>TSH 21.87 μIU/mL,
This is high, should test for TSH again and T4. Testing Free T3 and T4 is better.
Low T4 would indicate hypothyroid.
I do not know if iodine deficiency is possible where you live in India. A local doctor would know. Otherwise could be hashimotos (autoimmune disease of the thyroid).
Elevated liver enzymes, elevated triglycerides, low HDL, elevated uric acid, elevated ESR rate, elevated TSH are labs that can show up with hypothyroidism.
Hypothyroidism causes many symptoms but includes high blood pressure. The elevated ESR is an inflammatory marker and may be due Hashimoto's thyroiditis (autoimmune thyroid disease). Recommended to test for thyroid peroxidase antibodies (TPOAb) and thyroglobulin antibodies (TgAb).
The treatment for hypothyroidism is thyroid hormone replacement (T4 only medications eg: Synthroid or natural desiccated thyroid eg: Armour - depends what works for you).
Excerpt from Sensible Alternative Hormone Clinic:
"Effective strategies for addressing the autoimmune aspect of thyroid disease include:
Avoid wheat
Selenium to reduce autoimmunity
Correct vitamin D deficiency
Improve gut flora
Reduce stress
Correct underlying adrenal issue, such as DHEA or cortisol imbalance
Correct oestrogen dominance. Consider using Natural progesterone
Detoxify mercury and other toxins
Supplement selenium to lower thyroid antibodies. Also helps with conversion of T4 to T3
Correct an iron deficiency
Herbal medicine Bupleurum, Turmeric, Rehmannia and others
Other Naturopathic treatments for thyroid:
Herbal medicines Withania or Coleus to increase production of thyroid hormone.
Iodine (not kelp) but in LOW dose. Use with caution in Hashimoto's disease
Amino acid tyrosine which is the building block for thyroid hormone
N-acetyl cysteine to detoxify
Vitamin B6 and Vitamin A to improve function of the thyroid gland
Selenium and zinc to ensure conversion of T4 to T3
Coconut milk/ coconut oil provides medium chain fatty acids to normalise gut flora and stimulate metabolic rate
Exercise
Sleep"
"Is there any one reason for all these". Not sure the reference ranges for the SGPT or SGOT so don't know if they are out of range or not, but your TSH is too high, as is your Triglycerides, plus your HDL cholesterol is too low......
High TSH suggests hypothyroidism; hypothyroidism can cause high triglycerides and low HDL.
Has your doctor prescribed you a thyroid replacement hormone or ordered further testing, such as Free T3, Free T4 or thyroid antibody tests? If Free T3 and Free T4 were done on the initial test, please post results. Any test results should be accompanied by reference ranges, which vary lab to lab and have to come from your own report.