I've been a long time lurker of various TRT related forums and this one seems to have
some pretty knowledgeable members, so I'll post here to hopefully gain some insight.
My issue is hypothyroidism and hypogonadism. Also having some intestinal issues – very IBS/colitis like symptoms. In June 2014 I started experiencing major fatigue, much like being hung over. I finally decided that something was wrong in January 2015 and got some blood work done. Sure enough, low T and low functioning thyroid. I have been taking supplements since Aug 2014 for this issue, so I have tried a lot of things. I have come a
long long long way since June 2014, but I am still not where I want to be. Here are the current symptoms
Lack of libido
Under eye bags
Weight: 158 lbs
Minus eye bags, you'd never guess this was going on by looking at me. I'm lean, muscular and athletic looking. I lift sporadically (as energy allows) and used to do BJJ (been out for the past year due to this)
Not currently taking medication for anything. But, I am taking a lot of supplements.
200 mg Sam-e
2g Red Ginseng
10000 IU Vit D (I live in the mid west)
30 mg Iodine
600 mcg selenium
50 mg Zinc nightly
400 mg Magnesium nightly
.5 – 1 mg melatonin nightly
Boswellia for IBS like symptoms
50 mg DHEA
lj100 (on occasion)
Diet is good. I cook 99% of my meals. Salad with every meal. I definitely get enough protein and healthy fats. There is not much else I can do with diet, in my opinion.
2 things worth mentioning. I did pro hormones when I was 18 (yes, dumb). I ran Hdrol twice and epistane once. I PCT'd, but never did blood work. So I have no baseline test levels. The second thing; last year I started taking iodine and worked up to 15 mg without selenium. I went hyperthyroid. My thyroid gland felt like my chest muscles the day after a hard work out – very sore. I remember my heart being sore as well. An Xray in June 2014 showed calcium in my thyroid. In that same month, an endo palpated and said it was a bit
swollen. I had an antibody test at some point in 2014 and was negative for antibodies.
I have had quite a few labs done
Testosterone was fine. I was taking 12.5 mg Clomid and 125 mcg DSIP for test at this
time. Not currently taking either of those now. I was somewhere between 30 and 40 mg of Iodine and 400-600 mcg selenium. I doubt my testosterone results would come back like this today. Currently I have no morning wood. During this time, I did. I don't remember much, but I do remember when I was waking up with wood!
TSH 7.539 (Iodine taken before apt)
Total T3 – 97 (0.50 – 1.50 ng/dl)
RT3 serum – 16 (10-25 ng/dl)
FT4 – 0.87 (0.50 –1.50 ng/dl)
TT – 603.9 ng/dl
SHBG – 12.10nmol/L
Free Androgen Index – 173.18 (24.30 – 110.20)
FSH – 3.5 (1.3 – 19.3 mIU/ml)
LH – 5.7 (1.2 – 8.6 mIU/ml)
Estradiol - <20 (20-47 pg/ml)
I was taking 15 mg of iodine, 400 mcg selenium, and 1 grain of armour. Ranges are same
TSH – 2.6
FT4 – 0.90 ng/dl
TT3 – 137 ng/dl
RT3 – 19 ng/dl
TT – 320.8 ng/dl
FSH – 1.9
LH – 3.2
SHBG – 12.20
Estradiol – 20
Prolactin – 7.70 (2.60 – 13.10 ng/ml)
DHEA, serum – 4.7 (<13 ng/ml)
Cortisol, random – 14.0 ug/dl (no range. Taken at 10:30 am)
I have more labs from earlier back in 2015. My TSH was as high as 11.5~ in Jan 2015 and TT was as low as 202~ in Jan 2015. I also have some metabolic panels/cholesterol panels if that's of interest.
I have done Wilson's T3 protocol twice. Once I went up to 75 mcg and then stopped. Temps
went up a bit; definitely felt a bit better after just that short run. Second time I ran up to 75 mcg and stayed there for 20 days. Temps got up to high 97s/low 98s on average. Dropped the dose by 7.5 mcg every 2 days to come off. I have been off T3 now for 3 days and I
feel pretty good compared to before this second run. Eyebags are much less apparent as the day goes on. Energy seems to increase as the day goes on. Wake up temps are in the low 97s. This AM was 97.3. After my first run, my AM temps were below 97. So, improvements are happening.
Right now I want to see the thyroid working before I start deciding what to do about
testosterone (TRT or not). If I have to take T3 or Armour, that's fine. Based on my current feeling, I'd guess that a small dose of T3 or 1 grain of armour would have me feeling pretty damn good. I will likely get back on clomid within the next week or two to alleviate some low T symptoms, but I am letting all my sex hormones settle. As I came off the T3 protocol the second time, I started feeling what I identify as high E. I lost my morning wood even though I had way more energy. There was a certain weakness as well, but temps were as high
as they'd ever been (mid 98s). A few days before, everything was going fine in terms of libido and morning wood. So I assumed that due to metabolism ramping up, T started going up (when it was likely at a fine level) and some of that got pushed to E.
Not sure if all this info is pertinent, but if I missed something I can edit. I'm just looking for some opinions on this and which direction I should go. I am planning to run another T3 protocol if my practitioner allows and see where that takes me. If that doesn't help, then I can go back on armour and start working on a better solution for testosterone. My biggest fear right now is TRT. I can deal with thyroid meds, but I really don't want to go the TRT route.
-describe body and facial hair
Little body hair. Very little facial hair
-describe where you carry fat and how changed
Don't carry much fat. Always been lean.
-health conditions, symptoms [history]
Hypothyroid/hypogonadism/digestive issues. Most is explained above
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever
No Rx right now. OTC listed above. No hair loss or prostate drugs ever
-- real dangers! see this http://propeciahelp.com/overview14
-lab results with ranges
-describe diet [some create substantial damage with starvation diets]
-describe training [some ruin there hormones by over training]
Not much right now. Some running/weight lifting. No BJJ.
-testes ache, ever, with a fever?
-how have morning wood and nocturnal erections changed
Yes. They come and go