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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Fatigue
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<blockquote data-quote="Vettester Chris" data-source="post: 10014" data-attributes="member: 696"><p>OK, good, I'm glad you're not getting reeled in ... Those statements should be respectfully challenged when there's an abundance of information that is relevant and supporting on the contrary. Just so you know, I am also a KP guy in So Cal. I have a litany of my own experiences, especially with a certain endo in Fontana, but I'll spare the drama. My relation with my GP has actually grown stronger over the years, and she even picks my mind quite a bit about the nuances of my protocols. However, my HRT and wellness support related thereof is completely outside of KP.</p><p></p><p>On the thyroid, it would be good if the TSH regulation feedback loop could be used as an absolute marker for diagnosing the thyroid, but unfortunately that's not the case. Here's one of the pages from STTM.com regarding the TSH lab (you don't have to get carried away with it, but you can see the point they're trying to make) .. <a href="http://www.stopthethyroidmadness.com/tsh-why-its-useless/" target="_blank">http://www.stopthethyroidmadness.com/tsh-why-its-useless/</a> </p><p></p><p>There are different degrees of hypothyroidism, ranging from overt, subclinical, central, and autoimmune disorders like Hashis can play into it, as well as a multitude of nutrient deficiencies and genetic conditions. In many cases of estrogen dominance the pituitary production TRH-> TSH, and central related issues will cause it to suppress just the same. This isn't even tapping into situations where T4 might be optimal or upper range, effecting the TSH reading, but then to find out T3 is to the left (or lower range), or mid/upper range, but not effectively reaching the cells.</p><p></p><p> FT3 getting to the cells (for the most part) is where the rubber hits the pavement .. It's important to know that you have enough supporting storage T4, and that not only you have adequate levels of FT3, and that it is effectively reaching the cells and promoting ATP and all the benefits that go with it. </p><p></p><p>Therefore, the FT4 & FT3 with reference ranges will tell us where these hormones sit, and a Reverse T3 lab will give us a good indicator if T3 pooling is evident, or if other areas might need addressed (iron, ferritin, cortisol, D3, electrolytes ...), where T4 conversion to RT3 is excessive. Even illnesses and disease can cause a spike in RT3, so this is definitely a good maker for a physician to use when making decisions for your health. </p><p></p><p>I look at it this way, if not for KP, I would have never got this deep into the whole HRT and endocrine thing. Like you, I needed to grab hold of my program and figure out what it all means. You get one doctor saying inject 100mg every 2 weeks, one saying 50mg a week, one says look at E2, the other says, "Don't bother." I personally had enough and decided it was on me to learn as much as possible, then to find a physician that I could align with that would be a not only a good doctor, but a partner for my long-term health plan.</p></blockquote><p></p>
[QUOTE="Vettester Chris, post: 10014, member: 696"] OK, good, I'm glad you're not getting reeled in ... Those statements should be respectfully challenged when there's an abundance of information that is relevant and supporting on the contrary. Just so you know, I am also a KP guy in So Cal. I have a litany of my own experiences, especially with a certain endo in Fontana, but I'll spare the drama. My relation with my GP has actually grown stronger over the years, and she even picks my mind quite a bit about the nuances of my protocols. However, my HRT and wellness support related thereof is completely outside of KP. On the thyroid, it would be good if the TSH regulation feedback loop could be used as an absolute marker for diagnosing the thyroid, but unfortunately that's not the case. Here's one of the pages from STTM.com regarding the TSH lab (you don't have to get carried away with it, but you can see the point they're trying to make) .. [URL]http://www.stopthethyroidmadness.com/tsh-why-its-useless/[/URL] There are different degrees of hypothyroidism, ranging from overt, subclinical, central, and autoimmune disorders like Hashis can play into it, as well as a multitude of nutrient deficiencies and genetic conditions. In many cases of estrogen dominance the pituitary production TRH-> TSH, and central related issues will cause it to suppress just the same. This isn't even tapping into situations where T4 might be optimal or upper range, effecting the TSH reading, but then to find out T3 is to the left (or lower range), or mid/upper range, but not effectively reaching the cells. FT3 getting to the cells (for the most part) is where the rubber hits the pavement .. It's important to know that you have enough supporting storage T4, and that not only you have adequate levels of FT3, and that it is effectively reaching the cells and promoting ATP and all the benefits that go with it. Therefore, the FT4 & FT3 with reference ranges will tell us where these hormones sit, and a Reverse T3 lab will give us a good indicator if T3 pooling is evident, or if other areas might need addressed (iron, ferritin, cortisol, D3, electrolytes ...), where T4 conversion to RT3 is excessive. Even illnesses and disease can cause a spike in RT3, so this is definitely a good maker for a physician to use when making decisions for your health. I look at it this way, if not for KP, I would have never got this deep into the whole HRT and endocrine thing. Like you, I needed to grab hold of my program and figure out what it all means. You get one doctor saying inject 100mg every 2 weeks, one saying 50mg a week, one says look at E2, the other says, "Don't bother." I personally had enough and decided it was on me to learn as much as possible, then to find a physician that I could align with that would be a not only a good doctor, but a partner for my long-term health plan. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
When Testosterone Is Not Enough
Fatigue
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