TRT 1 Year Update

This is great. Thanks. Interesting that once thyroid is brought to normalcy, if adrenals can’t handle… not sure what happens. Will read what you posted.

@flatdanny @physioLojik @unreal24278 I don’t know if I should continue the t4 and wait the full 6 weeks to see if shoulder joint pain resolves and take labs?
Or ask for a different brand now?
Or just stop it?

I started the t4 Dec 13 and my shoulder path started after a few days.
I do feel my sensitivity to cold is much better.

Not sure what you should do Charlie. I don’t think I am in any way qualified to advise you what best to do… Hopefully Physio will chime in with some professional advice on what he think you should be doing and even if he thinks the joint pain is caused by the T4 meds. I’m interested in what he thinks actually because I still have joint pains three months after starting T4.

I’ll tell you something I didn’t take the tablet this morning and my shoulder already feels better. And noticably less clicking

I can either try the name brand synthroid or NP thyroid.
Maybe @physioLojik you can suggest based on labs . I know you super busy. :baby:t2:

Are you monitoring your temperatures Charlie? I’m using an old fashioned basil thermometer and taking temperature as soon as I wake, then every three hours x3. Then take the average of the last three readings and plot on graph.

From what I’ve read it seems a good way to monitor how you are doing on the meds. Though having a baseline from before you started the T4 would have been good to compare.

I am monitoring temps.
Btw Dr prescribed me 15 mg NP thyroid.
It’s the lowest dose. Being I don’t have blatant hypothyroidism , I think this amount is good. It’s supplementing. I thought it may be not enough. But we will redo labs in 2-3 weeks.

My research also tells me that without a full replacement dose , the treatment will not suppress my own production. @physioLojik am I correct correct with this? And is 15 mg ok ?

Wife started on 30 mg of NP thyroid. Am happy for that because her reverse t3 was a bit high. And the t3 in the dissecated thyroid will help her.

I actually took a 30 mg today cause I did not get the 15 yet and I could feel the t3 warm me up. Got up to 98.6.

So you felt an improvement that quickly. That’s great news (;

I copied the below info from StopTheThyroidMadness site. (Excellent info there)

Gives you a bit of info on the strength of your dose and there’s also a mention about the importance of iron and cortisol levels when starting thyroid meds.

——————

Recommended tests…

Just when you think you know what’s going on.

So I had a physical with a new Dr. I told him I tried armor thyroid but stopped 10 days ago cause I thought it was my shoulder. Which it’s not my shoulder. It was incidental.

So I told him I did feel warmer in the afternoon on meds cause my only symptom was cold hands. If anything I have subclinical hypo. So i told him my hands were cold while in his office.

He grabbed my hands and looked at the nail parts and surroundings. He said I have raynaud’s syndrome . Never read about that so I was like - what! He pointed out the purple colors.

But the armor helped with body temperature and I think consequently resolved my cold hand feeling. And now I read that pde5 help with Raynaud’s and I take daily Cialis.

So when @physioLojik says lower body temperature or cold hands can be from other causes. Ummmm … Right again. And the shoulder pain was incidental as physio said.

Would Raynaud’s lower my overall body temperature? Does this whole thing make sense?

He’s running thyroid labs but probably still have some t4 left since I stopped armor 10 days before lab. So I don’t know how accurate the lab will be.

Labs B4 treatment

New labs 1/25 thyroid . stopped armor 1/14. See post above.
TSH 2.69
Free t3 3.26 (2-4.4)
Free t4 1.02 (.8-1.9)

And iron numbers

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Hey Charlie! Interesting about the Raynaulds. I’ve had it for all my adult life actually. I get attacks when the weather is cold. It can be extremely painful. Mine is connected to an autoimmune disease I’ve had since 17 but I read recently that being hypothyroid can lead to you suffering with raynauld attacks.

Wow. Thanks. Does Raynaud’s lower body temps? I get no pain.

My finger tips get those long wrinkles. When they feel cold.

@flatdanny looking at my labs what do you think?

So fucking confusing.

An trying to figure out if my cold hands correspond to colder body temperature. All I know when I was doing armor I had no cold hands. Actually felt warmth. Even dick felt hotter than usual not sure if that’s ok.

@flatdanny @physioLojik @unreal24278
What is confusing though is my free t3 is at 3.2. But cold feeling is erratic. Cold for 5 minutes then not. Would Raynaud’s do that ?

Have you tried hanging for your shoulder?

Basically it has cured all my shoulder issues. (impingements)

Tell me more baby.

Like a dead hang?

I have the pain upper chest under collar bone. It’s referred pain that makes me think it’s the shoulder.

So frustrating cause now I just do light curls cause I want pain to go away. Dr said about 4 weeks.

When I was doing the dips the wrong way I didn’t feel pain. Still don’t feel the pain. But it’s there if I push on it or use my arm to like get up.

under the collar bone, by your shoulder? Or more inwards, towards your throat?

Dead hang. 30 seconds at a time, up to 2 minutes a day. creates more space in the joint. and actually reshapes bone and stuff after a while (wolfs law)

have you stretched your pecs for an extended period? have you tried releasing it with a tennis ball maybe?

In rub it with myself.

I do stretch it by placing lower arm against wall , applying slight pressure where elbow rests on wall and push my body forward.

try putting your arms elbows horizontally in a doorway, with forearms/hands up and forward.

Chest stretch using a doorframe essentially. Make sure your shoulder is not rolled forward when you try and stretch pec.

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Went to gastro Dr yesterday.

Major complaint bloating. This was pre trt as well.

Prescribed digestive enzymes Creon.
Order abdominal and pelvic cat scan.
Wants endoscopy which I see no need for.
Wanted colonoscopy but had done 2015 so he’s not doing.

Also ordered labs checking for lipase amylase cileac, hemochromatosis cause my son is a carrier.
And stool test for pancreatic elastase. Which i have done before. Was fine.

And wants me on a low fodmap diet.
Hey @physioLojik found a Dr concerned about diet

What point is there to an endoscopy I get 0 hearr burn or pain?

typo?

Nope.

The term FODMAP is an acronym, derived from “Fermentable Oligo-, Di-, Mono-saccharides And Polyols”. FODMAPs are short chain carbohydrates that are poorly absorbed in the small intestine.

Brussel sprouts no good according to this diet. Wtf

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