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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
hCG mono at 7 months | | Thyroid eval?
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<blockquote data-quote="Vettester Chris" data-source="post: 27482" data-attributes="member: 696"><p>Re-Ride .. Your adrenals need to be your first area to address. I think you will find this to be the culprit for some of the issues you are dealing with; primarily addressing your thyroid. Here's some markers for my talking points ...</p><p></p><p>1) Reverse T3! This lab is better served to compare ratios against its ATP producing counterpart, Free T3; more so than just reviewing serum levels. When primary issues like cortisol or iron/ferritin imbalances are evident, T4 will convert higher to higher levels of RT3, as opposed to FT3 (Free serum). This is a great regulating process in our body to yield FT3 production when it is not adequately getting into the cells of the body. Cortisol (or the glucose thereof) and iron & ferritin are two (2) of KEY items needed for this to happen. I personally call them both transport agents. </p><p></p><p>Imbalances of these items, and even to a degree with others like D3 & certain electrolytes will hinder FT3 from getting to the body. The simple method to check this is comparing FT3/RT3 ratios. You're looking for the ratio of RT3/FT3 to be 20 or higher (or even > 25 is better yet IMO). Your ratio is <strong>14.6</strong>. </p><p></p><p>2) Real quick on the subject of FT4 and FT3 .. Ideally, you're hoping that both of these labs are hovering in similar areas of their respective reference ranges (not always, there's exceptions). On yours, your FT4 is something around 42% of Ref Range, but your FT3 is around the 73% of ref. range. Again, this variance is common in higher RT3 conversion rates, where FT3 "Pooling" is evident. </p><p></p><p>3) Your DHEA presents the possibility that your adrenals are at an early "Stress Adapted -Hyper Response" adrenal stage (Stage 1), or possible Stage 2, where Stress is adapted an ACTH divergence; keeping pace with the cortisol demand, but in later maladaptation stages this will decrease, and then the demand for pregenolone will start being problematic with the production of other hormones throughout/downstream with the endocrine system, aka Pregnenolone Steal. </p><p></p><p>The increased DHEA is your marker that you need a complete review of your adrenals, 4 x saliva kit, which at that time needs to be compared with a saliva DHEA lab to compare the current correlation. This is also the time to review the pituitary related ACTH assay. Again, DHEA will keep pace with increasing cortisol only to a point. Dr. Lam has quite a bit of information on this. To conclude, the 4x saliva kit will provide the circadian profile graph (or I can put one together for you), which might enlighten why you feel some of these "sluggish" sensations at certain times of the day.</p><p></p><p>FYI, your ferritin is where you want it, hovering a bit over 100ng/dl. Would like to see your iron serum and TIBC. TPO antibodies were covered, looks great! Just to be safe, TgAb should be covered as well to rule out both enzyme and protein autoimmune disorders. There's obviously other talking points with other labs, but that's my .02 for tonight. Will keep in touch ... Best!!</p></blockquote><p></p>
[QUOTE="Vettester Chris, post: 27482, member: 696"] Re-Ride .. Your adrenals need to be your first area to address. I think you will find this to be the culprit for some of the issues you are dealing with; primarily addressing your thyroid. Here's some markers for my talking points ... 1) Reverse T3! This lab is better served to compare ratios against its ATP producing counterpart, Free T3; more so than just reviewing serum levels. When primary issues like cortisol or iron/ferritin imbalances are evident, T4 will convert higher to higher levels of RT3, as opposed to FT3 (Free serum). This is a great regulating process in our body to yield FT3 production when it is not adequately getting into the cells of the body. Cortisol (or the glucose thereof) and iron & ferritin are two (2) of KEY items needed for this to happen. I personally call them both transport agents. Imbalances of these items, and even to a degree with others like D3 & certain electrolytes will hinder FT3 from getting to the body. The simple method to check this is comparing FT3/RT3 ratios. You're looking for the ratio of RT3/FT3 to be 20 or higher (or even > 25 is better yet IMO). Your ratio is [B]14.6[/B]. 2) Real quick on the subject of FT4 and FT3 .. Ideally, you're hoping that both of these labs are hovering in similar areas of their respective reference ranges (not always, there's exceptions). On yours, your FT4 is something around 42% of Ref Range, but your FT3 is around the 73% of ref. range. Again, this variance is common in higher RT3 conversion rates, where FT3 "Pooling" is evident. 3) Your DHEA presents the possibility that your adrenals are at an early "Stress Adapted -Hyper Response" adrenal stage (Stage 1), or possible Stage 2, where Stress is adapted an ACTH divergence; keeping pace with the cortisol demand, but in later maladaptation stages this will decrease, and then the demand for pregenolone will start being problematic with the production of other hormones throughout/downstream with the endocrine system, aka Pregnenolone Steal. The increased DHEA is your marker that you need a complete review of your adrenals, 4 x saliva kit, which at that time needs to be compared with a saliva DHEA lab to compare the current correlation. This is also the time to review the pituitary related ACTH assay. Again, DHEA will keep pace with increasing cortisol only to a point. Dr. Lam has quite a bit of information on this. To conclude, the 4x saliva kit will provide the circadian profile graph (or I can put one together for you), which might enlighten why you feel some of these "sluggish" sensations at certain times of the day. FYI, your ferritin is where you want it, hovering a bit over 100ng/dl. Would like to see your iron serum and TIBC. TPO antibodies were covered, looks great! Just to be safe, TgAb should be covered as well to rule out both enzyme and protein autoimmune disorders. There's obviously other talking points with other labs, but that's my .02 for tonight. Will keep in touch ... Best!! [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
hCG mono at 7 months | | Thyroid eval?
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