T Nation

My Thyroid Numbers...Normal?


#1

I have been reading a lot here on Thyroid numbers and I am wondering if the symptoms I was feeling had anything to do with my Thyroid. I had a complete BW done in late November with an HRT specialist. I had low T but not "clinically" low with low libido and drive.

Me:
50 years old
5' 8"
165 lbs
Lift in the gym 3 - 4 days a week
Eat "ok"
Supplement Program (to long to list here)
Stressed due to work
Sleep like crap (see above)

Pre-TRT BW:
TESTOSTERONE, TOTAL 403 280 - 1100 ng/dl
SEX HORMONE BIND GLOBULIN 37 10 - 80 nmol/L
TESTOSTERONE, FREE 4.10 0.80 - 11.30 ng/dl (1.88%)
IGF-1 296.0 H 87 - 238 ng/ml

CORTISOL 19.4 ug/dl (Tested @ 10 a.m.)
Normal individuals:
Morning am 7-10: 6.2 - 19.4 ug/dl
Afternoon pm 4-8 : 2.3 - 12.3

LH 2.7 1.7 - 8.6 mIU/ml
PROGESTERONE 0.97 0.2 - 1.4 ng/ml- 8.6 mIU/ml
ESTRADIOL 29.1 7.6 - 42.6 pg/ml
DHEA-SULFATE 382.1 H 44.3 - 331.0 ug/dl
ALBUMIN 4.8 3.2 - 4.8 g/dl

My only real symptom was a lack of libido and some ED. Understanding that Thyroid issues can exhibit the same symptoms of Low T I am wondering if there may be an underlying issues.

THYROID TESTING
T3, FREE 3.7 1.8 - 4.6 pg/ml
T4, FREE 1.21 0.9 - 1.7 ng/dl
TSH 2.420 0.27 - 4.2 uIU/ml

My Doctor stated that my Thyroid was in fine shape but looking at the TSH at 2.42 and reading anything over 2.5 can be a problem I am wondering if this is the cause of my low libido.

Note, I started a TRT protocol 3 months ago to get my T levels into the optimal ranges and my libido has improved. Also, I do not have any any other symptom (that I can notice) of a thyroid problem.

Do the Thyroid numbers above present a "normal" range?

Thanks.


#2

What TRT protocol?

Does “symptoms I was feeling” mean that the symptoms are now gone?

T3, T4 seem to be best at mid range. Thyroid might be fine. Many symptoms of hypothyroidism are common to hypogonadism and TRT can resolve these. yes, TSH is a concern.

Iodine in salt, diet, vitamins?

Any signs of hypo?

Do you get cold easily? Check waking body temp, record and post here. Feeling warmer or hot with TRT?

Rx and OTC drugs can cause problems, as can a lack of sleep.

You probably need a sleep aid.

So the labs are pre-TRT and now: “T levels into the optimal ranges and my libido has improved”. Please supply current numbers and E2.

What stickies have you read?

TRT can make snoring worse… how is that going?

In some cases, TRT improves thyroid function and vise-versa.

What about mood/apathy/energy/depression? How changed?

Are you loosing fat?


#3

You have a very rare doctor - one who actually knows to run Free T4 and Free T3 + Cortisol.

your cortisol looks great as does your Free T4 and Free T3.

normally your highish TSH should prompt further tests, but your doc already ran those tests and those results look good.

your TSH seems to indicate that your system is having to work harder then normal, but since everything else looks good, I would leave this alone for now.

what is your current treatment program?


#4

Thanks KSMan. Answers below. In short, I just wanted to see if my Thyroid numbers were healthy and they appear they are.

[quote]KSman wrote:
What TRT protocol?
Mon AM: 60 mg T Cyp & .5 mg AI
Thurs PM: 60 mg T Cyp & .5 mg AI
250 iu hCG EOD

Does “symptoms I was feeling” mean that the symptoms are now gone? My libido was tanking and it’s gotten a lot better with TRT (MD says it will continue to improve over time as well since I’ve been on TRT for 3 months now and the 3rd month I’ve really seen and felt the difference). Didn’t know I felt bad and down till TRT so overall well being has improved greatly. Also, my temper and tollerance has improved greatly with much happiness!

T3, T4 seem to be best at mid range. Thyroid might be fine. Many symptoms of hypothyroidism are common to hypogonadism and TRT can resolve these. yes, TSH is a concern. Yes, THS was a bit concerning hence my post.

Iodine in salt, diet, vitamins? Don’t use salt other then what’s already in food. Take a well thought out vitamin protocol…long list…but has everything recommended on this board and more.

Any signs of hypo? Just low libido really, nothing else.

Do you get cold easily? NO
Check waking body temp, record and post here. Will do.
Feeling warmer or hot with TRT? NO.

Rx and OTC drugs can cause problems, as can a lack of sleep. No RX and OTC other then TRT. Sleep has always been a problem as I stress over clients and the business in general. Never ends…

You probably need a sleep aid. Agreed.

So the labs are pre-TRT and now: “T levels into the optimal ranges and my libido has improved”. Please supply current numbers and E2. Will do next panel is scheduled next week.

What stickies have you read? Yes, a few times. Great work man.

TRT can make snoring worse… how is that going? My wife is complaining about the increase in snoring since starting TRT.

In some cases, TRT improves thyroid function and vise-versa.

What about mood/apathy/energy/depression? How changed? Mood is much improved and really to my surprise; didn’t know I was feeling bad. In fact, my wife always thought I had a low grade depression (stress) and like I said I now have a great sense of well being…just feel really good…it’s amazing to be honest.

Are you loosing fat? Yes, and gaining muscle as well. 3 to 4 times in the gym and people are starting to comment on the change…really a big plus!

Thanks KSman, will post next labs shortly.

Peace.

[/quote]


#5

Thank you for the response PC. Answers below.

[quote]PureChance wrote:
You have a very rare doctor - one who actually knows to run Free T4 and Free T3 + Cortisol. Yes, he is Harvard trained in TRT/HRT and it’s one he considers himself a specialist in the field. Great guy and really open to ideas.

your cortisol looks great as does your Free T4 and Free T3. Great…that’s what I was looking for!

normally your highish TSH should prompt further tests, but your doc already ran those tests and those results look good. Ok.

your TSH seems to indicate that your system is having to work harder then normal, but since everything else looks good, I would leave this alone for now. Ok.

what is your current treatment program?[/quote]
Mon AM: 60 mg IM Test Cyp & .5 mg AI
Thurs PM: 60 mg IM Test Cyp & .5 mg AI
250 iu hCG SC EOD


#6

Not all vitamins contain iodine.

Iodized salt is rarely used in prepared foods. No iodine there. Not enough naturally occurring iodine in food. If you have an iodine deficiency, TSH should increase. Thyroids can be enlarged, become lumpy and in some cases can lead to hyperthyroidism. That happens from TSH over-stimulation.

Why do you not use salt in cooking or at the table?

Protocol looks good. Your E2 should be quite decent. Explains progress with mood and libido.

Do lab work 1/2 between injections.


#7

Thanks again KSman.

Not all vitamins contain iodine. My multi has 150 mcg’s at 100% Daily Value.

Iodized salt is rarely used in prepared foods. No iodine there. Not enough naturally occurring iodine in food. If you have an iodine deficiency, TSH should increase. Thyroids can be enlarged, become lumpy and in some cases can lead to hyperthyroidism. That happens from TSH over-stimulation. Should I add additional Iodized salt to my foods as well?

Why do you not use salt in cooking or at the table? We use salt in cooking I just don’t add additional at the table.

Protocol looks good. Your E2 should be quite decent. Explains progress with mood and libido.

Do lab work 1/2 between injections. I will post here the next labs. I look and feel great so I think you’re right that the protocol is good.

Thanks again my friend.

G


#9

Please create your own thread so we can follow you, and keep everything in that thread.

Please read stickies linked from 2nd post of first topic in thus forum:

  • advice for new guys
  • things that damage your hormones
  • protocol for injections <-- check oral body temperatures and post

In your new thread:

  • have you been using iodized salt? -history
  • are your outer eyebrows sparse?
  • do you get cold easily?
  • general hair thinning?
  • thyroid enlarged, lumpy, asymmetrical or sore?

We need lab ranges.

Please do not respond in this thread.