“TSH 2.96 mIU/L 0.27 - 4.2
Free Thyroxine 14.9 pmol/L 12.0 - 22.0
Free T3 6.2 pmo/l 3.1 - 6.8”
Please check body temps, see last paragraph in this post.
TSH should be closer to 1.0
fT4=14. 9 is a bit below mid-range.
fT3=6.2 is well above mid-range and fT3 is the active hormone.
This “smells like” elevated rT3 which interferes with fT3.
Please describe how stress is and has been a factor in your life. Include illnesses, accidents, infections/inflamation acute and chronic.
Thyroid lab ranges are idiotic and doc parrot this shit without any thinking or understanding.
Many there have problems with iodine deficiency because iodized salt is not very available. In the UK, you are expected to get iodine from dairy products.
“FSH 6.2 IU/L 1.5-12.4
LH 6.4 IU/L 1.7 - 8.6
Testosterone 16.7 nmol/L 7.6 - 31.4
Free Testosterone 9.19 pg/ml 4.0-30.0”
LH and FSH were strong. T was not. Could be in part from poor thyroid function or a problem with the testes themselves. Do your testes ever ache? Can be a vascular problem. As FSH is similar to LH, we can rule out a FSH secreting testicular cancer.
Prolactin is elevated. Oddly, prolactin can be release during orgasm or cuddling [babies, puppies, kittens]. So avoid for a few days before labs. Prolactin can reduce LH/FSH, but your LH/FSH are strong so we can focus on something else.
E2=48 is low because FT=9.19 is low.
When T levels with TRT are high, E2=80 pmol/L is a favourable level.
Vit-D25=120 looks good. How much Vit-D3 do you take?
You appear to be be iron deficient.
Do you eat red meat?
Do you have digestive issues?
Have you ever had an occult blood test to detect blood in your stool?
Your HPTA restart attempt looked good.
Doctors there can be a sad lot.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.