Post the labs. Labs should not show personal name etc. Link need a password.
fT3 is the only active thyroid hormone, there is no receptor for T4.
See below re using oral body temperatures to eval overall thyroid function. Body temps can be used to adjust thyroid med dosing.
Thyroid function has a huge effect on energy and weight gain/loss.
Solid build? I worry about insulin resistance and diabetes.
Stop testing LH/FSH!
Need TT, FT and E2
Thyroid under medicated. Goal is fT3 at midrange or a bit higher.
Ignore TSH and fT4
Labs:
TT
FT
E2
CBC
hematocrit
AM cortisol
IGF-1 to eval GH status. Do not test GH directly
DHEA-S - at this age, just get 25mg DHEA and test later
Supplements:
high potency B-complex with 150mcg iodine 200 mg selenium
fish oil
ZMA - see Biotest store at bed time or split day/night
Vit-C 1000mg at bed time.
Natural source Vit-E
Iodizes salt still a good idea.
Goiter from not using iodized salt for years?
Nodules at risk of cancer, TSH–>zero helpful.
Selenium also important.
nebido: Levels unsteady and E2 management cannot be done right. Switch to 50mg T subq twice a week and take 1/2mg anastrozole at time of injections.
E2 management is very important for prostate health. So is ejaculation to clear seminal vessels - otherwise can be inflamed and inflammation affects prostate.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.