T Nation

Hypothyroidism?


#1

Gents,

Stats:
30 y/o male, been training for 10 years.
6’0", 190lbs, ~16%BF
285lb bench, 250lb squat, 275lb deadlift (hx of lower back surgery)

Symptoms:
-Inability to put on lean muscle mass—I gain almost exclusively fat (this is not my norm).
-Strength has hit a plateau
-Difficulty concentrating, in a fog (I’m a fighter pilot—not a good thing)
-No sex drive/interest. Trashed a great relationship because of this.
-Erectile dysfunction
-No energy at all during day—heavy reliance on caffeine
-I can sleep all day. 10, 12, 14 hours is no problem—I still wake up tired.
-Possible inflammation in lower neck. I feel constant pressure/ache below my Adams Apple, like my trachea is being gently squeezed.
-Irritability, easily stressed, anxious. Nothing excites me anymore. ‘No fucks given’ attitude—and not in the good way.
-Morning oral temperature in the mid-high 96s.
-Cholesterol and BP have been rising over the last six months. HR is stable in the mid-50s.

Attempted corrective actions:
-Initially suspected low testosterone, so I went to the flight doc and had testosterone labs done. He only drew total test: 426. That was the morning after a heavy squat workout, so I’m sure it is actually lower.
-Did a half-assed thyroid panel. TSH of 3.21 and Free T4 of 1.17. TSH seems high.

Our flight docs are pretty green, so I figured I’d ask for a sanity check here before demanding an endocrinology consult and potentially getting grounded. Thoughts?


#2

TSH of 3.21
Free T4 of 1.17

TSH should be closer to 1.0
fT4 seems a bit below mid range, need lab units

"Possible inflammation in lower neck. I feel constant pressure/ache below
my Adams Apple, like my trachea is being gently squeezed"
That is where your thyroid is.

Thyroid looks enlarged?
Lumpy or asymmetrical?
Sore - yes
Low body temps? -yes

What is your history of [not] using iodized salt?
Restaraunts typically do not use iodized salt or put i shakers.
Processed foods and prepared meals - same problem.
Find out what what is used at your base.

Thyroid labs:
TSH
fT3
fT4 [want free thyroid hormones, not T3, T4]
If you can get these:
rT3
thyroid autoimmune panel

Please follow these links in 2nd post of 1st forum topic:

  • advice for new guys
  • things that damage your hormones
  • thyroid basics explained

Low thyroid function causes weight gain, low energy, low initiative, mood problems
You might have an iodine deficiency.


#3

You can do labs on your own via lef.com and get the blood work done here: https://www.labcorp.com/wps/portal/findalab

http://www.lifeextension.com/vitamins-supplements/itemlc322582/male-panel-blood-test
http://www.lifeextension.com/vitamins-supplements/itemlcthyroid/thyroid-add-on-panel-blood-test

With LEF, its cheaper to get a membership then the labs.

There are some other sources for DIY labwork. Perhaps others will provide references.
we can provide better responses to your lab work than most doctors.