Updated lab results. Taken 12/10/15
TSH 6 (.35-4 mciu/ml)
TSH 2.7 (.35-4 mciu/ml) ***pre- iodine/selenium
t4 free 1 (.8-1.5 ng/dL)
test, total 416 (240-871 ng/dL)
test, total 354 (240-871 ng/dL) ***pre-iodine/selenium
E2-25.7 pg/ml (7.6-42.6pg/ml) taken 5/2015. Tested 12/10, no results yet after 5 or so days.
Cortisol, serum 8.7 (no range listed (6-23 mcg/dL according to NIH))
A1C 5.4 (4.8-5.6%)
AST 31 (<34 U/L)
ALT 34 (<63U/L)
Vitamin D 34 (30-100 g/mL)
Cholesterol 152 (<199 mg/dL)
Triglyceride 57 (<149 mg/dL)
HDL 49 (>40 mg/dL)
LDL 92 (<99 mg/dL)
Cholesterol/High density lipoprotein 3.1 (<4.9)
cholesterol non-HDL 103 (no range listed)
-age - 35
-height - 5'10
-waist - ~40
-describe body and facial hair - normal hair from knee down. Knee up gets thinner except for pubic. Elbow down, normal hair, elbow up is thin. No chest/back hair outside of around the nipple. Hair on stomach and low back. Some facial hair but cant grow a full beard/thick mustache.
-describe where you carry fat and how changed - carry mostly in stomach/chest. Some in thighs. Outside of getting heavier since about 2008, no change in where I carry. Doctors note of elevated transaminase levels in 2008 when I started noticing weight gain
-health conditions, symptoms [history] - Pubertal gynocomastia around...12/13 and ever since. Began having mild depression swings, difficulty losing weight after wife and I had children and I didn't have much time to exercise around 2005. Attributed it to working 12+ hour days, little sleep/exercise.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever - None. Some ephedra supplments way back when it was legal, but nothing really outside of protein/creatine
-describe diet [some create substantial damage with starvation diets] - According to online calculators, should be eating approx. 2800 cal to lose weight. After tracking about 6 months ago, I was consistently eating about 1900-2200. This translates to me eating way under my requirements for roughly 10 years...without losing weight, and in fact, gaining. Today...I try to eat closer to 2800. Diet is mostly clean, with the occasional beer/cookies/junk food. Overall, I eat "ok".
-describe training [some ruin there hormones by over training] - 4-5 days a week. Recently changed from 4 days/~3hours of strength and Olympic lifting (12 hours week) to 4 days/~1.5-2 hours (~8hrs a week). Currently focused on hypertrophy so lots of volume. Some light cardio on off days to include rowing, barbell complexes, and some jogging (just started jogging about 1 mile 2x a week).
-testes ache, ever, with a fever? - Never. Very rarely I will get some pain in perineum/testes after urinating. Feels like a muscle strain though. As if a muscle cramped trying to get all the urine out.
-how have morning wood and nocturnal erections changed- Less and less. Has seemingly gotten better with Iodine replacement. Maybe...4-5 days a week now. Noticeably less full though (compared to college days...about 10 years ago).
As for my new lab results, some things stood out to me. My test has increased about 80 points since beginning IR about 4 weeks ago (which is good). My TSH has also increased...which is bad. A1C looks to be high, diabetes runs in my family so that sort of concerns me. Im not sure what to make of my ft4.
From my very basic understanding, my pituitary seems to be ok as evidenced by increased TSH. But my thyroid is not ok as temps still avg 97.6 w/ 12mg Iodine. The doctor didn't order t4, or rt3, only ft4...so I don't know if I can make a determination that my thyroid isn't "spitting out enough juice". At the moment, I can only guess that my increase in test is due to IR doing some improvement on thyroid function or caused by other means (gonad?)...
doctor made a referral to the endo though because of the TSH level. Will likely get additional labs requested by him/her. Is there anything that I should be asking when I get to them? (e.g. estrogen dominance, IR, the need to take T4 drugs etc)
Lastly...so this all has created a downhill spiral in that I need to lose weight to get my thyoid to work (hopefully) but I cant lose weight easily because my thyroid is slow/non-functional. Is there such a thing as "short term TRT" to assist mostly in losing weight to get my thyroid back online or is that asking for trouble? I only see mention of TRT being a permanent course of action...though they also do not mention HCG. Im thinking it is fine as long as my TRT would include HCG and when im ready...I can simply taper off.