Lab Work, Blood Testing and Symptoms

There has been talk on and off about body temperature readings (which seems to fit into this thread).

Here is what I have learned:

Your thyroid function is considered good if your oral temperature upon waking is at 97.3.

Your thyroid function is considered good if your average daily oral temperature (taken at 3 3-hour intervals starting 3 hours after waking) averages at 98.6.

Your cortisol function is good if you have a steady oral temperature increase during the day (from 97.3 to 98.6+) and a steady decrease during the evening.

Your cortisol function is considered good if your average daily oral temperature stays consistent day to day.

Low waking or average oral temperatures indicate low thyroid.
Big up and down temperature swings during the day or from day to day indicate too little cortisol.

Here are a few sources of body temperature information:
http://www.drrind.com/therapies/metabolic-temperature-graph
the stop the thryoidmadness site I think also may have some information as does the www.thyroid-rt3.com site.

1 Like

[quote]KSman wrote:

Symptoms: Why are you here

-Why do I have boobs? This really is depressing if prolactin is the cause!
-Why do I carry fat like a woman?[/quote]

Would you suggest anything natural i.e no prescription drugs to remedy these issues?

[quote]KSman wrote:
-My scrotum is up-tight, gives “how are they hanging” a whole new meaning.[/quote]

ever heard of it being up-tight during the day, but hanging low after say 7pm. crazy huh?

The ‘naturals’ have marginal effects. Never see reports of good outcomes. In most cases, optimal would seem to be impossible.

High prolactin can be from an adinoma, herbals cannot deal with that.

Low LH causes the scrotum to pull up. Your situation does not fit with what we have reported by others.

[quote]KSman wrote:
The ‘naturals’ have marginal effects. Never see reports of good outcomes. In most cases, optimal would seem to be impossible.

High prolactin can be from an adinoma, herbals cannot deal with that.

Low LH causes the scrotum to pull up. Your situation does not fit with what we have reported by others.[/quote]

i agree with marginal effect. but they do help a bit, not enough. i have created my own thread, id appreciate it if you had a look. thanks.

Regarding blood testing, how many weeks do you recommend using a test, ai and hcg protocol before doing a follow up?
thanks

[quote]tuscans wrote:
Regarding blood testing, how many weeks do you recommend using a test, ai and hcg protocol before doing a follow up?
thanks[/quote]

4-6 weeks is about right. Closer to the higher end of that spectrum for most accurate.

Quest 4021x Estradiol (E2) Test

Just a heads up…my Quest district has changed the reference range of their 4021x Estradiol test from 13-54 pg/mL to 0-39 pg/mL.

http://www.questdiagnostics.com/hcp/testmenu/jsp/showTestMenu.jsp?fn=3062.html&labCode=AMD

This may or may not be a nation wide thing and we are the first to adopt it. I can’t find any info on it other than that.

I like the new ranges though! Hopefully will make it a little easier for men on TRT to sort out their E2 issues since they will be “above range” much more easily now.

I am attempting to find out “why I’m cold all of the time?” I haven’t seen this explained, if someone can point me in the right direction I would greatly appreciate the help…

[quote]MDAutry wrote:
I am attempting to find out “why I’m cold all of the time?” I haven’t seen this explained, if someone can point me in the right direction I would greatly appreciate the help…[/quote]

This is indicative of low thyroid function (hypothyroid). Your body’s metabolism is slowed to the point that your body temperature drops. This is especially applicable to the extremities.

Body temperature is a very good indicator of thyroid function.

Though ironically, some people with low thyroid function can also feel HOT a lot of the time–sweating when other people are cold, etc. But their body temperatures are still on the lower side. Still haven’t figured that one out.

sweating can be caused by an electrolyte imbalance potentially caused by low Aldosterone (tied to progesterone/cortisol production). Thyroid/Cortisol issues are linked so it is not any stretch to include Aldosterone in the mix of systems effected.

Thank you both for the replies…

Should the folate test from LabCorp be Folate (folic acid) or Folate (RBC and Serum)?

Also, would there be any benefit to getting labs to check for inflammation? i.e. CRP, homocysteine, etc? If so what would you recommend?

Thank you.

Can you explain the causes of brittle hair, ridges in the nails, and thinned skin on the top of the hands? Is TRT a treatment that will reverse this? Thanks

TRT can fix thinning skin which is collagen loss from a catabolic state. My skin was thin and when pinched up it was slow to recover. TRT fixed that in a few months. Brittle hair can also be a symptom of hypothyroidism. Read the advice for new guys sticky.

Thanks KSman for all the time you have invested to help others.

I would like to add that if you have thyroid issues. DEMAND a thyroid ultrasound, tyroglobulin, antibodies test along with a full thyroid panel with free t4 free t3. It can literally save your life. Many people have goiter, nodules, and cysts, which can be revealed by ultrasound. Avoid soy products they can cause thyroid issues.

Also if your pinky finger does not pass the third line on your ring finger and you have dry elbows you are predisposed to thyroid issues and should keep a close eye on it. If you have this in both hands you inherit it from both sides of the family. I learned all this from a thyroid specialist who has been working since 1948 his name is Boris Catz btw he is 86 and still sees patients in Los Angeles.

Please stick to the point of this sticky.

Please only ask about things that are general to the topic that have not been made clear already.

Do not discuss your personal situation here. Read the beginning of the first post in this sticky.

Use your own thread for things that pertain to you.

KSman - Can you please confirm if the first post in this sticky contains a typo? It reads as follows:

Labs to never do and timing issues:
-DO NOT test E2 ultra sensitive

… my question is why not? Many of the other posts indicate that we need to measure E2. The levels will be lower in men, so isn’t an ultra sensitive test preferable?

There were many debates long ago. Do not know all of the issues that were current. With Labcorp, the standard test works great. And some labs used to not report in the ranges that we are interested in. Really needs to be in the context of each specific lab. You may have pulled your finding out of context.

I am confused by your comment about hugging puppies and babies.
I’m new to TRT (one month) and I have a puppy AND a baby - and I hug them as much as I can.
Would you please explain what you meant?
Thanks,
Nate