We see guys with thyroid problems unable to absorb transdermal T all of the time. Always? Might be. Have not see a doc who understands that so far.
You really do need those more frequent injections. You seem aware of the suggested protocol, so I will not repeat. You should try injecting with #29 1/2" 0.5ml syringes, SC/SQ upper leg. This will provide steady FT for AI to work best.
Do labs half way between injections always. Labs at time of Dr visit can be wrong. Need to eliminate lab timing artifacts. Also, need to do similar re thyroid meds and labs.
What happened with last lab where TSH crashed? Took meds twice?
fT3 should support good body temps, see last paragraph below to check. With what you have written, adrenal fatigue seems quite possible now and then lower body temps are expected. If rT3 elevated, you take T3 meds, time release is a compounding pharmacy item, and that lowers TSH and T4, reducing T4–>T3. TSH needs to go low to reduce T4 production.
Body temps can be a guide to thyroid med dosing. But throwing more T4 at adrenal fatigue would make that worse.
Glad to see you are onto selenium.
Using/used iodized salt to support thyroid function?
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.