Initial Labs pre TRT input welcome

[FGCAGT]

41M 6'6 260lb 23% bf approx
T Serum 674
Free T 7.6
T3 5.9
T4 1.96
Reverse T3 18.8
TPO 82
TSH 0.951
SHBG 110.1
DHEA 166
Estradiol Sensitive 19.6
IGF-1 105
Albumin 5.0

Any input welcome, thanks in advance

 

[Systemlord]

Need some context, do you have any symptoms?

Your IGF-1 is low and peptides can help to increase it to healthy levels. SHBG is binding up too much of your Free T, SHBG (produced in liver) is next to impossible to manipulate expect for excess androgens ~ TRT.

Total T isn't bioavailable and is bound to SHBG, Free T is unbound and needs to be high normal, 18-25 pg/mL and TRT is the only way you can achieve this goal.

 

[FGCAGT]

Need some context, do you have any symptoms?

Your IGF-1 is low and peptides can help to increase it to healthy levels. SHBG is binding up too much of your Free T, SHBG is next to impossible to manipulate expect for excess androgens ~ TRT.

Total T isn't bioavailable and is bound to SHBG, Free T needs to be high normal, 18-25 pg/mL and TRT is the only way you can achieve this goal.

Yes, low libido, low energy, no motivation, etc. pretty much all of the signs, thats why i decided to get tested

Thank you!

 

[Vince]

Take care of your thyroid first, then think of try. Why is the reverse T3 High. When posting labs, we always post them with ranges.

 

[FGCAGT]

Thank you!

Take care of your thyroid first, then think of try. Why is the reverse T3 High. When posting labs, we always post them with ranges.

Lets see if this works. Thanks!!

 

[Dansk]

Looks like you have some sort of Autoimmunity issue going on (High TPO, and RT3) as Vince said maybe start with that before TRT. insulin is high also.
There are others here who can help with more details on that.

 

[FGCAGT]

Thank you all for the input. Anxious for consultation.

 

[Vince Carter]

Those are unusual around here Thyroid numbers...low TSH, which is OK but then FT4 and FT3 are over the lab ranges...you don't usually see that.

 

[FGCAGT]

Those are unusual around here Thyroid numbers...low TSH, which is OK but then FT4 and FT3 are over the lab ranges...you don't usually see that.

I thought it was odd also. Labs almost show both over active, under active and normal thyroid function.

The SHBG being 110 can't be good for Free T either.

 

[Vince Carter]

The SHBG is killing your Free T for sure. Problem you will have if you do go down the TRT road is that you won't be able to be diagnosed because your TT is >250. You can find and I can think of one that might treat you based on your Free T though.

 

[FGCAGT]

The SHBG is killing your Free T for sure. Problem you will have if you do go down the TRT road is that you won't be able to be diagnosed because your TT is >250. You can find and I can think of one that might treat you based on your Free T though.

I am working with Dr. Saya at Defy.

 

[Vince Carter]

I was thinking it could be Dr Saya that might be willing.