Low T, I Think It's Thyroid? Ksman (was on Clomid now t-cyp)

I go to lab corp. They take 3-4 days. I hate waiting…I hope u got the quest app get results directly. Lab Corp does the same. Get results after 24 hours of final report.

Yeah I got the app. Pretty slick.

Well I managed to crash my e2. Actually took .5 arimidex this morning right before I saw the labs. :rage: Not sure if I should inject more t this morning to help increase my e2 , but I think I should just wait.

Here are my numbers in 50 mg subq injection 2x a week = 100 a week. .25 ai at time of injection except this morning I took .50
Took labs morning of injection on 3/13.

TT 669 (264-916)
Bioavailable t 27% (9-46)
Direct T 15 (6.8-21.5)
Calculated 14.6 ng/dL = 2.18 %
E2 sensitive 8.8 (8-35)
Shbg 27.8
Albumin 5.1
TSH 3.4
free t4 1.02 (.82-1.77)
Free t3 3.3 (2-4.4)
Reverse t3 10.6 (9.2-24.1)

Plan - stop ai for 4 weeks and see my labs again to see if e2 goes back up to the low 30s where I dont feel good. Then maybe I need to microdose an ai?? But maybe it will maintain in the 20,s. Or do I lower t dose in 4 weeks if e2 in the 30s?

Its funny wife said yesterday my breasts were gone. Must be the low e2. When I look in the mirror huge difference in my boobs. Flat. Looks good. It seems like I def need e2 in the low 20s.

Thyroid I am utterly confused @KSman my free t3 is very good , rt3 not a problem. So why tsh high? Thank you all

Antibodies? You’ll learn real fast that increasing AI without labs is not a good move.

Actually feel really pumped today. Took a bit of extra t yesterday. About 12 mg more.
Like most medications I take they last in my system longer than the average. Even caffeine if I have coffee late morning I have trouble sleeping.

So I gather that the AI did the same. It is also possible that I was just at the point where my body was getting use to the higher T and the e2 was already in the way down.

My HCT and RBC count went down to great levels as before injections. They were still good while on injecting but were steadily increasing.

My thyroid antibodies were checked a couple months ago and were near 0.

It seems like when e2 goes down my tsh goes up. May be other variables but just an observation. I am researching a thyroid endocrinologist in case I need one.

Just had my wife’s dr pull her numbers her reverse t3 is almost at the high number. Her free t3 was mid range. She is overweight and this forum had helped me greatly and hopefully I pick an endocrinologist who will treat my wife so she can lose weight and be healthy. It’s obvious her reverse t3 is blocking the free t3 thus probably a low metabolic rate.

A great clue for everyone if you go to a specialist and they check the thyroid ask them or look at the paper to see what they ordered. You can tell instantly if you have a good Dr. If they are checking the thyroid and fail to order free t3. Run. You can expect maybe your primary doctor not doing it, but an endocrinologist who doesn’t order …run
A good endocrinologist should run thyroid antibodies and reverse t3. Probably insulin , glucose, a1c as well esp if overweight.

I am lucky that most of my doctor’s order what I ask them to do at least I have labs that I can decide if I need a specialist or insist on care.

Updated lab chart.
@KSman please comment on my thyroid numbers. Confused because free t3 and reverse t3 are in good shape.
Temps is morning are 96.8. During some days they get to 98.6 others 98 or 98.2.

@KSman bump for @KSman

So I have tried the HCG last month. Did not like how I felt. Had insomnia, extreme bloating. Did only 4 injections.
Just went to Dr (urologist) says I can reduce dose to 100 iu 3x a week or EOD. I just feel so go without it that I dunt think I want to try again .
It’s funny some beg their Dr for HCG my Dr wants to give and I don’t want.
Thoughts? Should I have given HCG longer time?

I also got a script that I make copies (so I can go to lab multiple times)of to just check e2 so I can dial in better.
Btw he also checked with another MD about my thyroid numbers and said nothing to treat.

You need your current labs here. Please do not fork/split your case.

E2 is showing changes to AI dose or missed doses?
T dose seems low.

If AI and T dosing were flawless for 7-10 days prior to labs, you need to reduce AI dose by a factor of 8.8/22 = 0.4. Then if you increase T dose, increase AI dose again by the T dose increase factor. A T dose increase of 50% would be a good start, so combined AI dose change factor would be 8.8/22 X 1.5 = 0.6

Thanks. Why do you say I need a T increase?

Just to make sure I am injecting 50 2x a week =100mg a week.
And I was taking .25mg dex 2x a week = .50mg a week. My E2 was low 30’s and the .50mg a week brought down to 8.8. I started dex about about 3 weeks before the lab on 3/13. never took before. @KSman

BTW here are my latest thyroid #s, not sure how my TSH can be so erratic. Ft3 seems to be solid.

Does anyone know why @KSman would suggest a t dosage increase?

Thx

Probably to jack your E2 up. He may not have seen that you crashed it yourself though.

Thanks.
Do I have this right: if my serum estradiol is low and it just got low , there is a delay maybe a couple of days that I would feel the symptoms?

Which is why you don’t usually adjust based on symptoms because your estradiol maybe be on its way in the opposite direction when you feel for instance it’s low.

So I was put on a heart monitor a few weeks ago because of feeling extra beats and feeling my heart beat essentially everyday. I felt this for a few months. So it is determined that I have occasional Premature ventricular contractions (PVCs).
Cardiologist said it’s fine and he sees it with hormonal situations.

Am trying to figure out if it’s:

  1. The testosterone peaks even though am injecting 50 mg 2x a week.
  2. The estrogen peaks going up and down with the t. I have taken an AI and i over respond to it.
  3. The 1gm fish oil I take daily
  4. The Cialis I take daily.

I think I should start eliminating the fish oil first then the Cialis to rule that out. But I think I already took away the Cialis and still had them.

The heart thing is really bothering me.

My bet is on the Cialis.

I hope not. What do I do as an alternative? I mean I can make sure the numbers are dailed in. But it is so nice knowing I can keep an erection…

Some guys have been forced off Cialis do to the unbearable side effects, forced to search for other alternatives.

Erections and side effects or no erections and no side effects, it’s a choice. All drugs have side effects because it’s not natural to the body.

Yup, cialis gives me tinnitus. Really sucks for me. :(((

I only started the Cialis about 6 weeks ago. Had PVCs before. But perhaps I was getting them before when I first started trt and the Cialis is continuing them? Also may be causing bloating to. Will eliminate soon. I guess I need to be off 7 days to see?

The tinnitus in my right ear went down to 10% of initial sound volume 2 days after stopping use. Several days have now past and it’s at about 3-5%. Hope it goes away completely, soon!