T Nation

Ask Physiolojik Thread


I felt like things got better for me once I stopped fish oil too, been off of it for about 5 weeks. I was just about to add it back because I felt like my symptoms were coming back anyway, but maybe you’re right and I should hold off rather than add fuel to the fire.

What kind of benefits does L-Carnitine have? I’ve heard it mentioned a few times around here.


I am not an expert on the subject so I can’t really answer the “how” it works. But I do know that it certainly helps me when things get ugly. I was desperate enough to try anything the last time I had an episode.

This is just a copy paste if a MUCH longer study.

L-carnitine inhibits both triiodothyronine (T3) and thyroxine (T4) entry into the cell nuclei. This is relevant because thyroid hormone action is mainly mediated by specific nuclear receptors. In the randomized trial, we showed that 2 and 4 grams per day of oral L-carnitine are capable of reversing hyperthyroid symptoms (and


Which blood pressure drug you think has the most benefits
Losatron, an ARB
Or Amplodipine a CCB?

And which would work best with daily cialis.


Thanks, ChickenLittle. I’ll look into it some more.


I’m at a loss for what to do here. Just got a message from my doctor’s office due to my inquiry about the purpose of my iodine prescription in relation to my thyroid function. Was told the following:

“Think of the iodine as a multivitamin for your thyroid. It was prescribed so that it could balance out some of your reported symptoms like the insomnia, lethargy, bursts of energy. It won’t alter your TSH in any way.”

Not sure what the TSH comment was about, I never asked about it. Anyone have any input on the quoted statement?


@jpt365 this is the dumbest shit ever. When your body detects a higher presence of t3, your body will naturally produce less TSH in response. That’s basic endocrinology. You likely get plenty of iodine in your food already, and too much will def mess you up.


Appreciate your insight man. Not sure why my doctor believes I’m hypo if my t3 is on the higher end of the range. This shit is so frustrating.

@physioLojik Update: tried my hardest to speak directly to a provider but it wasn’t happening, understandably they’re busy. However, the person I talked to went through the notes and said they got the conclusion of hypothyroidism by taking my rt3 and my t3 and using a ratio to establish a diagnosis, does this sound accurate on any level?

Labs again for reference:

Reverse t3: 20.7 Range 8-25
T3 free: 3.7 Range 2.3-4.2
T4 free: 1.77 Range .89-1.76 HIGH
TSH: .536 Range .55-4.76. LOW
Thyroid Peroxidase abs: <28.0 Range <60
Thyroglobulin abs: 23.4 Range <60


You have the worst Type Dr. The one that thinks he knows what he’s doing and knows jack.

My multi contains 150 mcg. That’s fine too take. Am sure you get much more with food


It’s hard for me to know how much I get. I don’t eat a lot of the typically high iodine foods like dairy, cereal grains, seafood/kelp and I don’t use iodized salt.


It took me 30-45 mins of arguing to get a Trab test done. My idiot was hell bent I had Hashimotos And was more than ready to prescribe Levothyroxine.

@unreal24278 and @physioLojik gave me the courage to argue


That’s a lot of arguing. Medical school is a high achievement, no doubt, but it’s like some of these doctors believe they’ve left the rest of humanity behind. Thankfully people like physioLojik go out of their way to help others beyond their office hours, and with no reward besides a thank you, I believe in this too.


Yes it was. Complete with him drawing pictures and telling me I didn’t know what I was talking about. Ummmm… I’m sorry, I know how feel, and there is this thing called the internet where I have seen this in colorful graphics.

That’s it!

I am sure there are other good ones out there, I just haven’t found him/her. I am difficult because of my anxiety. I explained this, in detail, BEFORE I made an appointment. Didn’t make a damn bit of difference.

It kinda sounds like your guy might be the same way.


This isn’t just relevant toward doctors though, many individuals who are high up on the socioeconomic chain. (Doctors, lawyers, businessmen, kids who have really rich parents etc). Partially becomes related to the morals and values you are taught when you are brought up (or the moral compass some people develop independently of their parental guardians) or the situations one is exposed to during their career.

Take many doctors for example, they work like fucking animals day in and day out for years on order to get where they are, from which they spend most of their day helping people improve their quality of life. People rely on them to fix medical ailments, thus it would make sense that for many without a well defined moral compass, the power may get to their head or said person may develop a massive ego, and this is understandable, as most people if put in similar circumstances would develop somewhat of a “god complex”

With businessmen, many of these guys at the top who own large cooperations make “fuck you” money, and I’m not talking about the guy who makes a few million a year (which is very good money but it isn’t “fuck you” money, were talking about the guys who earn upwards of 100 mil a YEAR), the kind of guys who can get whatever they want, whenever they want. A few mil a year is still a lot but think about guys who rack up hundreds of, if not billions in net worth. These guys sometimes behave like they’ve left humanity behind because … In all honesty, they kind of have. Think superyachts, heated driveways that span miles, mansions with 20+ bedrooms in just about every major continent owned by the same person, a personal COLLECTION 50+ of supercars, personal islands, massive sculptures on their front lawns, private jets, making millions a year solely on DIVIDENTS from stocks!

Some of these people act like they’ve left humanity because they totally have lol. Imagine if you had control over the day to day quality of life of 10,000 people. Those with well a developed moral compass tend to stay on their feet and not let the power take ahold of them, however given humanities inherently flawed nature it’s difficult to find individuals such as (I assume) physiolojik who maintain a humble and respectful attitude despite being a very intelligent individual who helps thousands upon thousands of people.


Probably some of that and a bit of confirmation bias. But I just started watching Billions so your diatribe spoke to me :smiley:


Undoubtedly, I always found it interesting how the slightest influencers in an individual’s life could guide them on a tremendously different path than their equally privileged or equally disenfranchised peers.

I’m not an MD, but I do have influence over the course of people’s treatment, being a clinical coordinator, and yes, it’s a messed up amount of responsibility. You write the wrong things in your notes or suggest the wrong diagnosis and meds/facilities get changed by a psychiatrist. I grew up with a strong honor code though (maybe I watched too much Batman, maybe just enough). Differences like these are why I was drawn to psychology in the first place. The “why” of humanity haunts me daily, I suspect it does for a large number of my peers as well.


I just got to season 2 lol, great show.


Wife and I just watched the first ep of season 1 yesterday. Promising.


Sorry, but I went back a did some stalking here to get an idea of your age, weight, height… blah blah blah.
I didn’t see it on any of the topics you created. What I did see however was this…

Yeah just did a screenshot because it’s easier on my phone than pasting. I promise this is not for evil purposes.

The average Low TSH
Panic Attacks
Excessive sweating
Rapid heartrate

This screaming HYPERthyroid to me.
Don’t get me wrong, I don’t know how to fix my own problems, but I can tell you this… a thyroid storm is awful.


I’m GLAD there are people like you who’d go through the trouble of gathering info like this, thank you! Sometimes it’s hard to see the trees for the forest when you’re in the midst of a health problem with no guidance.

Oh, and I’m 31, 6’1” 190lbs, probably around 14% body fat.


I have to be the 1k post haha ftw!