Labs from 2/11.19
Total test 579 (264-916)
Free test 10.9 (8.7-25.1)
LH – 2.7 (1.7-8.6)
Estradiol Senitive – 7.4 (8-35)
SHBG 58.6 (16.5 – 55.9)
TSH 2.090 uIU/mL 0.450 - 4.500 01
Thyroxine (T4) 5.4 ug/dL 4.5 - 12.0 01
Triiodothyronine (T3) 81 ng/dL 71 - 180 01
Triiodothyronine (T3), Free 2.4 pg/mL 2.0 - 4.4 01
T4,Free(Direct) 1.23 ng/dL 0.82 - 1.77 01
Reverse T3, Serum A 13.8 ng/dL 9.2 - 24.1 01
Thyroid Peroxidase (TPO) Ab 18 IU/mL 0 - 34 01
Thyroglobulin Antibody <1.0 IU/mL 0.0 -0.9
-----Labs from 4/1/19--------
Total test 656 (264-916)
Free test 15.9 (8.7-25.1)
LH – 3.9 (1.7-8.6)
Estradiol Senitive – 12.6 (8-35)
SHBG not tested
Thyroid not tested
—Labs taken 4/15/19—
Testosterone, Serum 933 (264-916 ng/dL)
Free Testosterone(Direct) 18.2 (8.7-25.1pg/mL)
DHEA-Sulfate 436.9 (138.5-475.2 ug/dL)
Luteinizing Hormone(LH) 18.7 (1.7-8.6)
IGF-1 154 (88-246 ng/mL)
Estradiol, Sensitive 18.7 (8.0-35.0 pg/mL)
Free T3 - 2.6 (2.2-4.4)
SHBG - 73.6 (16.5-55.9)
My main symptoms are unexplained weight gain and inability to lose weight. With disciplined diet/exercise, I was single digit BF% my whole life, up until 18 months ago. Despite very calculated calorie intake and exercise, I simply cannot lose weight for the last ~18 months. I’ve crept up to 14% BF, despite exercising 6x per week and calories very much in check. I originally started treatment due to the weight, and lower libido. Erections are fine, mood in generally fine. The weight above everything else is what needs addressing.
IN March I began 12.5mg CLomid EOD. The labs tested on 4/1 are from 5 weeks of this treatment.
In April, I was increased to 25mg Clomid every day and given Armour Thyroid (mix of t4 and t3) to help with thyroid and weight loss.
The latest labs, from 5/15 are where I currently am at. Total test went up a lot, free T not much, LH not much, free T3 not much, SHBG went up a lot, IGF is still low.
After talking with the doctor, he gave me a lot of options, but didn’t give an exact recommendation. Given the weight issue being my main concern, he suggested the Thyroid is the main thing to address. He has perscribed cytomel (pure t3) to get my t3 numbers up, as they didn’t raise much with the combo of t3 and t4.
He did prescribe Testosterone and HCG, but said I could hold off on that, if I wanted. Remaining fertile is important to me, and if I it’s just the thyroid that needs to be addressed, I’d rather not have to be on TRT the rest of my life.
With my IGF being low (even lower than when I started any treatment), we talked of peptide therapy. He prescribed a peptide, saying it;s there if I want to order it. However, it’s quite expensive. I know other sites that sell it for less. Do other sources that sell it also provide the insulin needle and injection/mixing/storage instructions?
He suggests that I go off the clomid, given the SHBG. And just start taking 5micrograms cytomel, and bump Armour thyroid down to 1.5 grains (ive been taking 2 grains). He thinks this alone will address my weight issue, but prescribed the test/HCG I want to order it after a month of trying this approach. He also suggests that once I go off clomid, my testosterone will likely lower back to the 500s, but thinks clomid wasn’t helping me much, given the little the LH went, and how high SHBG went up. Thoughts?
With weight being the main issue, would it suggest a thyroid issue more so than a testosterone issue?
What would you do in my case? Bite the bullet and get on the T train for life (I"m 33 years old)
Should I try peptide to raise IGF1?
- Other remedies to increase LH and/or decrease SHBG?