Hello everyone -
Cleaning up my post-
BF: Not sure - def not in shape
Issues: 9 prior surgeries, chronic pain, currently feel down, reduced libido, low temp
Using compounded cream. Takes very little for me (seem to be very sensitive to supplments), I do 1/2 or 1 pump of 2 recommended.
T4, Free: 1.31
Have CBC if relevant, all in range except EOS (absolute) 0.5 x10E3/uL - I have a lot of allergies, and was diagnosed with eosinophilic esophagitis in Feb - EOS level has been elevated slightly for 6+ years.
Metabolic panel and electrolytes in range.
I have been on and off TRT for about 2 years. I use a compounded cream. Without the cream my level is in the 300-350 range. I have 6 clamps on my left gonadal vein from where a hernia mesh caused variosceles, and my left testicle is small.
I had to go off cream earlier this year because I had to have my gallbladder removed - not sure if TRT/estrogen contributed to this.
On the cream my last tested total T level was 731. My estradiol level was 40. Doctor insisted this was fine but I am reading otherwise.
For me, in the past, when I was not on the cream and I took a lot of fish oil it seemed to kill my sex drive. I can not find much hard conclusive info if fish oil actually depletes estrogen. Now I am thinking maybe it would be smart to take more of it to try to lower my estradiol level a bit?
My LH and FSH seem to be about the same on or off the cream and I have no testicular atrophy. Not sure if this is a concern?
My temperature is also low - high 96s in the morning, 97s in the afternoon. My blood pressure is typically 110-115/65-70 and my resting heart rate is 60-65. Not sure if these are points of concern, I don't remember either being low when I was younger. I am starting iodine replacement/selenium. I can not have a pituitary MRI because of implanted metal. Between 24-28 I had above said hernia mesh rotting and was in severe chronic pain. Plus more surgeries. My thoughts are that I probably have adrenal fatigue (or extreme adrenal fatigue based on how tired and down I feel) and that is contributing to the hypothyroidism and temperature.
Also last question - I have chronic gerd/reflux (but no heartburn) and TRT makes this worse. I have read about people getting bad heartburn on actual gear. Is there anything I can do about this?