What shoud one check for to determine the cause of subclincal levels of hypothyrodism if: a) body temp is normal (according to this sticky). b) cortisol is normal (right smack in the middle of the reference range). c) none of the symptoms mentioned in Thyroids Basics Explained are present (Dry skin, Brittle nails, Low body temperatures, General hair loss..etc).
yes, discuss your sources of iodine not using iodized salt? verify packaging.
Your TSH could be compensating for low iodine. High TSH does create some dangers. You need ample selenium to protect the thyroid now and if/when supplementing iodine. Get a multi-vit that lists iodine+selenium
AM cortisol <10 is not good should be done at 8AM, ~1 hour after waking
Iodized table salt i would say is my main source of iodine. Always has been. I've also always used more salt than the average person. Almost all the food I’ve eaten since birth contained iodized salt.
Not sure what you mean by verify packaging. Salt I use says “Sea salt IODINE: 70-100mg/kg salt. Plastic container.
Any recommendations. You meantioned Iodoral in your sticky. Should I go with that?
Not sure if it was you that provided the link. It says that high amounts of chemical forms of iodine such as potassium iodine (e.g. Iodoral) is toxic, hence harmful to the liver. Kelp is suggested as a safer source of iodine. What are your thoughts on that?
Alrighty, I’ve just learned that supplementing with iodine will actually bring TSH levels up. Way up in most cases. The reason being that the high amount of iodine that has been introduced to your system will need high amount of TSH to get the iodine to be delivered to the thyroid glands by way of sodium iodine symporter. What I am wondering now is, doesn’t that defeat the purpose since I am taking the iodine in order to “decrease” my TSH levels? Or will the TSH come down to normal levels once I stop supplementing with iodine, having now been treated? If that is the case then how long is treatment? How do I know when to stop?
If you assume that TSH is the only and total issue, you are right. But that is wrong. Thyroid controls the energy production by mitochondria inside your cells as part of a control loop that managed body temperatures. So body temperatures are a more valid measure of things than TSH. It is fT3 that is getting the job done so we are very interested in fT3 levels. Note that fT3 can be blocked by rT3, so labs alone are not the complete picture, but temperatures are the bottom line.
So you can see that TSH is but one player on the field and TSH is not the score.
Many here have used high dose iodine and you are free to use less. Have you studied the thyroid basics sticky? Body temperatures and your energy levels are your guide and I suggest a two week course.
This forum is very active lately and I find it hard watching 20 football games at once and can't always get to things on time. I do all of this in my spare time and the wages suck
Your hypothalamus is either reacting to lower body temperatures or is not seeing the thyroid hormones clearly. Your fT3 is well above midrange, supporting the 2nd option. This can be rT3, but obviously not a major amount. This is very rare http://pituitary.ucla.edu/thyrotroph-tsh-secreting-adenomas and even if that was going on, its still asymptomatic.
You may simply be wired differently. The risks for you is high thyroid activity from high TSH. You need selenium to protect from free radical damage/inflammation that is normal for some of the chemistry going on. Nodules could form and they can lead to hyper symptoms and predisposes to cancer.
I heard during my research, not sure where, i think it was stopthethyroidmadness.com, that optimal thyroid levels (in a perfect world) should be: fT3 at the upper normal range (such as my case) and TSH around 1.2. Based on that, i though my fT3 is perfect and that i just need to figure out why my TSH is so high.
Or do you mean my fT3 is high in relation to my symptoms?
I'm 33. I take no medication at all.
My energy levels are OK. Just get lazy a lot but i'm thinking that's psychological due to low T. Muscles don't get sore easily...but then, i haven't really worked them in a while, except mabye climbing a flight of stairs, which doesn't get them to become sore.
Just a few questions:
1. Does low T cause TSH levels to rise? I am thinking maybe that could be the reason my TSH is high, because T levles are below the lab ranges.
2. What problems do you think I could have starting TRT with elevated TSH (hypothyroidism)?
And the most important question…
I would like to attempt a HPTA restart. I read your sticky. My question is…
3. Looking at my lab results below, which method do you think I should start…hCG+SERM(of course taking SERM depending if the hCG works)or just SERM?
I'm at %29 body fat (even though i don't even look overweight). Could that be the reason for the elevated E2?
What i meant by hCG+SERM was to do hCG for 4-6 weeks and if that works, do SERM for 4-6 weeks to get the "hypothalamus and pituitary in the game". Just like what is suggested in the sticky...or just do SERM (Nolvadex for 4-6 weeks) and if things go back to normal (it's a succesful restart), i continue with my life and pray my body will keep up by itself - meaning: no hCG.
AST 24.9u/l (≤40) ALT 40.2u/l (≤41)
Well prolactin test was done i'd say 40-45 hours after sex. And at the time, i was living with 9 cats...although i didn't cuddle with them, just occasional petting.
What would be the ultimate goal with 0.5mg/week anastrozole? Obviously bring down the E2, but what about the main problem...T? Will i be aiming to increase T levels by decreasing E2? Is that possible? And how long should i be on anastrozole?