Your total test production compared to LH looks a little sluggish, but not in the tank. I've seen this with other guys in the past where they had similar results, and they had one testicle doing most of the work, and one (1) that was under-performing.
Might want to run it by a Urologist or...
Some people just don't do good with T4 only. Plus you need to factor if T4 is converting adequately, compare FT3 & Reverse T3, plus review where iron/ferritin & cortisol is sitting in the mix. All are variables that will factor into the effectiveness of thyroid hormone treatment.
Joe, HRT with women is definitely achievable, it's just a bit more methodical to address & administer.
With the lack-of progesterone, estrogen tends to be dominant, and that's one of the KEY areas of imbalance. Estrogen dominance takes a toll in many areas, especially with the adrenals, and...
Do you have the complete 4x cortisol results available? And hopefully with DHEA correlation? It would be good to see it on a circadian graph, and plot the DHEA correlation accordingly. I have spreadsheet around here somewhere that will do this...
Is the book you are getting by Dr. Wilson? Adrenal Fatigue-21st Century Stress Syndrome? If so, it's loaded with good info.
Yes, to answer you, adrenal wellness is crucial with the thyroid, as cortisol will play a vital role with FT3 getting to the cells (as does iron & ferritin). Too low, FT3...
There's definitely a lot of talking points, but I'll address thyroid ..
The thyroid labs you ran are outdated and unfortunately useless for the most part. The "uptake" and "index" labs sound catchy, but they provide no useful details about where your thyroid sits. You can take that Thyroxine...
12.5mcg is only = to 1/2 grain. Don't worry about the TRH/TSH axis, it's pretty tenacious, and it will still be active when you're medicating, just at lower levels. My TSH ranges from 1.3 to 1.8 on 1.5 grains/day. I had labs done at one point when I was not feeling good, so I laid off the...
I personally don't see any conflict with those supplements and your NDT medication. I'd stick to your AM protocol on NDT, do your supplements later.
As you mentioned, there's been some weight gain, but you also noted the diet and exercise situation wasn't optimal. Optimize those areas, regulate...
Your FT3/RT3 ratio is real low, around 12, meaning something might be causing T4 to be converting to RT3 at a higher rate than desired.
It would be good to see the whole picture, with FT4, antibodies (TPO & TgAb), plus CBC's, iron/ferritin, D3, metabolic panel, etc., the gamut if you have it...
10mcg of T3 isn't even 1/2 grain when looking at it from an NDT point of view, which is evident in the FT3 results yielding at 25% of the reference range ... 50% to 80% IMO is where most men will want to aim for on FT3, but that's also factored with a FT3/RT3 ratio being >20.
On Iodine, I would...
Just curious if you've had any anitbody tests (TgAb or TPO) for autoimmune?
RT3 can be triggered many ways, even just getting the flu or an injury will put the body in a state of conserving resources.
I think you mentioned iodine and selenium supplementation .. What does your protocol look like?
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