Thyroid treatment according to Neal Rouzier

Gianluca · Feb 11, 2019

According to Neal Rouzier Thyroid treatment with high level of T hormone it is safe, he also mention when we are young our FT3 is over 5 and get to 7?? the link to the webinar below

Sean Mosher · Feb 12, 2019

That seems like the old targeting a number strategy.
My FT3 is definitely over range if you will, but it's what I feel best at.
I personally think at 7 I'd be going nuts and sweating bullets.

fifty · Feb 12, 2019

So total T 2000+, e2 100+, ft3 7? Got it.

Gman86 · Feb 12, 2019

Sean Mosher said:
That seems like the old targeting a number strategy.
My FT3 is definitely over range if you will, but it's what I feel best at.
I personally think at 7 I'd be going nuts and sweating bullets.

Is your free T3 over the range naturally, or do you supplement with thyroid hormone?

Sean Mosher · Feb 12, 2019

1Gr of NatureThroid twice a day.
Should have clarified that.

Gman86 · Feb 12, 2019

Sean Mosher said:
1Gr of NatureThroid twice a day.
Should have clarified that.

Np. Thanks for clarifying.

Gianluca · Feb 12, 2019

fifty said:
So total T 2000+, e2 100+, ft3 7? Got it.

that's a what I thought as well, he likes hormones up there

Vince Carter · Feb 12, 2019

fifty said:
So total T 2000+, e2 100+, ft3 7? Got it.

I knew you'd catch on to that one!

HealthMan · Feb 12, 2019

I thought E2 of 500 was better no? The more the better!

wsj357 · Feb 28, 2019

I’m starting thyroid treatment. I have high tsh and my thyroid panel is coming with results in the coming days.

I am on trt and under supervision of a great doc.

I’m curious about my dose. I know you can feel jittery and have other sides if too much thyroid is taken. Is this a low dose and what should I expect? How will I know if it’s working.

I’ve been on trt for a while and haven’t felt much benefit. Still can’t sleep, wake up easily, fatigue, no focus and etc.

Is this a fairly normal dose ?

T438mcg T39mcg equals 60mg )1grain) 2 capsules daily

Sean Mosher · Feb 28, 2019

1 grain twice daily is pretty standard.
If that's too much you could always back off to half a grain twice daily and work back up to 2 grains.
Depends on the individual.

wsj357 · Feb 28, 2019

Sean Mosher said:
1 grain twice daily is pretty standard.
If that's too much you could always back off to half a grain twice daily and work back up to 2 grains.
Depends on the individual.

Ok thanks. So it’s easy to split the pills? I guess when I get my thyroid panel I’ll know more.

Sean Mosher · Feb 28, 2019

Honestly when I started NDT, I was given 1/2 grain pills and told to titrate up to that dose.
I did about a week at 1/2 grain twice a day, then about a week at 1gr AM, 1/2 gr PM, and then finally 1gr AM 1gr PM.
Anything higher and I started to get heart palps, etc... and knew that I had reached the proper dose.

wsj357 · Feb 28, 2019

Ok I’m going to do this. Start at 50% am and pm. I’m on another medication that is known to raise tsh levels but they said the thyroid is fine in most men regardless. That’s why I wanted to dose cardfully. Within a few days I’ll have my thyroid panel and will know for sure how bad off I am.

If anyone can answer one more question. I am told that men on trt might not find benefit if the thyroid is bad. This is because the body cannot metabolize the Testasterone. Is this true. I cannot find any study article or post that directly comments on this specific issue.

Gman86 · Feb 28, 2019

wsj357 said:
I’m starting thyroid treatment. I have high tsh and my thyroid panel is coming with results in the coming days.

I am on trt and under supervision of a great doc.

I’m curious about my dose. I know you can feel jittery and have other sides if too much thyroid is taken. Is this a low dose and what should I expect? How will I know if it’s working.

I’ve been on trt for a while and haven’t felt much benefit. Still can’t sleep, wake up easily, fatigue, no focus and etc.

Is this a fairly normal dose ?

T438mcg T39mcg equals 60mg )1grain) 2 capsules daily

You’re starting off with two 30mg capsules per day, for a total of 1 grain? That’s a good starting dose. I might even just start with 1/2 a grain per day, and do that for a week or two and then do 1 full grain. It’s better to start low. But 1 grain is the average starting dose I think.

wsj357 · Mar 1, 2019

Not sure but that’s what my pharmacist wrote me when I asked. I’ll look at my bottle when i get home.What is a grain ?

Sean Mosher · Mar 1, 2019

NDT is dose in grains/mg I believe.
So 15 mg is 1/4 grain, 30 mg is 1/2 grain, 60 mg is 1 grain, etc....

1 grain has 38mcg of T4 and 9mcg of T3 from what I remember.