I have had my Total T hovering around the 220's for the past five months. I wanted to see if the work I have done i the past year with cleaning my diet up, treating sleep apnea with cpap, being off all ssri's for over a year, supplementing iodine, changing careers (lower stress), and a variety of other things would help without TRT. I am now working with Defy Medical and Dr. Chrisler and in the midst of a restart.
As far as Testosterone goes, I think I have to give in and go back on shots. I am still waiting on the LH FSH results from the three week clomid trial but my testosterone didn't move. Interestingly enough, when I started the clomid and thyroid med it felt like a light went on. Not that i felt totally better but my anxiety has dramatically increased. I suspect it is the nature thyroid. Still struggling with energy ( Former teacher, but now a personal trainer in my 5th month).
Three weeks on the following:
Pregnenalone 5-10 mg 5-6 days a week with a 1 or 2 day break a week
12.5 clomid with DIM 200 mg
1/2 grain Naturethroid
T4 1.46 0.82-1.77
DHEA sulfate 264.1 102.6-416.3
TSH 0.659 0.450 - 4.500
Thyroid peroxidase 7 0-34
Triiodothyronine free serum 3.2 2.0 - 4.4
Total testosterone 227 348 - 1197
Free Testosterone 7.6 8.7 - 25.1
Pregnenolone 88 Normal
Anti-thyroglobulin Antibodies <1.0 Normal
Estradiol, Sensitive 16.9 8.0 - 35.0
LH Waiting on results*
FSH Waiting on results*
T4 1.30 0.82-1.77
DHEA sulfate 270 102.6-416.3
TSH 4.970 0.450 - 4.500
Triiodothyronine free serum 2.6 2.0 - 4.4
Total testosterone 220 348 - 1197
Free Testosterone 18.6 8.7 - 25.1
Estradiol, Sensitive 13.6 8.0 - 35.0
LH 3.1 1.7 - 8.6
FSH 3.0 1.5 - 12.4
Prostate specific AG 0.3 0.0 - 4.0
Total cholesterol 161 100 - 199
Triglycerides 45 0 - 149
HDL 65 >39
vldl 9 5-40
ldl 87 0-99
I am following the stickies as well as I can in terms of Iodine replacement but still unsure if I am doing it right. However, something is working. I do ensure I do the following in terms of IR:
Iodoral 1mg-6.5 mg
Selenium – 200 – 400 mcg per day
Magnesium – 400 – 1200 mg per day
Vitamin C – 3,000 – 10,000 mg per day
Vitamins B2 -100 mg
Vitamin B3 - 250mg
Unrefined Salt (Celtic) – 1/2 tsp. or more per day (This seems to help any detox symptoms)
The recommendations over at STTM (stop the thyroid madness) have been helpful for me. I have consumed 180 pills of the 12.5 mg pills of Iodoral since March of last year. So we are talking a bit more then 5 mg a day, so this is consistent with IR taking some people months to years to benefit I guess. My average daily temperatures have increased and on average are upper 97's with a rare low 98 as opposed to upper 96's and low 97's. Morning temps recently have averaged about 97.2 and i still struggle with getting going early still.
A few months before this I have gotten a handle on the OCD symptoms (intrusive thoughts, anxiety, etc) in terms of managing them. It was so bad I couldn't leave the house. I believe the iodine, targeted supplementation with a functional medicine doctor, elimination of gluten, meditation, therapy, new job and a few other things have helped with this but I am unsure. I am on no psych meds and feel better then I have mentally being on psych meds which I was on for over 15 years.
I have to wait two weeks to speak with Dr. Chrisler so I took a chance and gave myself a shot of test cyp as I do not want to wait at this low t level any longer and especially after seeing my testosterone didnt move at all after the three week clomid restart.
@Ksman I stopped the clomid after three weeks and took the shot today, anticipating Dr. Chrisler will see the clomid didnt do anything (testosterone wise, still waiting on LH). I hope I didn't pull the trigger to soon. For example, if my LH comes back high or low will it matter in terms of the next step since the testosterone didnt move? I have done hcg montherapy in the past in it got my test to about 480 but my estrogen was in the 60's during that.
I just feel like I want the normal -optimal t levels, especially since i have been going the past five months at a 220 ish level.
I am 35 now and was on trt from 32-34 and 1/2 (previous posts are here but not sure how to bring all together). Ultimately, trt worked in the past but the estrogen was to high (high anxiety from this i think) and i was scared to be on shots for life (want to have kids). It looks like the good old Testosterone, HCG, and AI is going to be my lot, WITH continuing treatment of thyroid and adrenals underneath that as well. Agree?