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At 125mcg, you are equal to 1-1/4 grain, which in some respects isn't a lot of medication. The other variable is Reverse T3, and if T4 is converting at a high rate of it (RT3), then that will affect your overall FT3 serum level. So, to assess properly, you would need an RT3 assay to compare...

Excellent overview of the thyroid!! The Reverse T3 side of it can get quite tricky when trying to establish a treatment protocol, but I'd like to see some of his follow up videos that will no doubt broach on that subject.

Everything at this point is speculation. No tests have been run, so truthfully we don't know if it's elevated or not (?). Run the labs, let's see the circadian profile, plus get a DHEA saliva lab with the 4x cortisol kit, which will provide a correlation analysis to help further assess your...

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If you have low cortisol, you probably need to talk with the physician about HC therapy, or some form of treatment to get this balanced. Do you have a circadian profile of your cortisol results? If you're at one of the later stages of adrenal fatigue, then yeah, DHEA is counterproductive...

100 to 130 would be great, but you also want to make sure Iron Serum is maybe somewhere in the 125 to 150 range as well. Both crucial with the transport process of getting T3 to the cells throughout the body.

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Probably 90% of hypothyroid members here will think their FT4 and FT3 labs are normal. If that's your assessment, then your normal!

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Those thyroid labs are outdated, the T3 is a vintage index /uptake, gives you zero data on the state of your thyroid hormone. You have TSH (good), get Free T4, Free T3, Reverse T3, antibodies (TPO & TgAb). If you have iron, ferritin, CBC's, metabolic, etc., it will also be helpful? CW has...

Yes, start with Dr. Saya. In the meantime take a look at the areas you can improve that will help reduce stress, e.g., better sleep, diet, shutting off the BS at work lol, exercise, too much caffeine, etc., ... Let me know how things progess.

Yeah, that will do it too!! And Estro Rebound is no fun either.

You could go to our Site sponsor, discountedlabs.com ... You can get just about anything there.

DaVinci Micronized works great too. In the PM is best on my end, as it counter balances with the adrenals and cortisol in the PM hours (same reason you might take HC therapy in the AM, if needed, as Cortisol hits its peak in the AM).

OK, good job on getting that done! Yes, cortisol is elevated, and DHEA is towards the low end. My take on this is that whatever stress your adrenal glands are enduring (?), it's putting a higher demand on Pregnenolone, which in turn takes away from DHEA production and other hormones. In a...

Yeah, it's needed. They're two completely different tests, and leaving RT3 out will just leave a lot of us here speculating. If your medical team isn't doing these, then they're really not looking too deep into your thyroid.

Agree that this is pointing more towards adrenal imbalance. Run the 4x saliva kit that CW has mentioned, and get it with a DHEA correlation analysis. Needing to see the circadian trend, total burden, and understand what stage/level of adrenal fatigue is present, IF indeed adrenal issues are...

You need to be looking towards your thyroid, and adrenal balance with Cortisol and DHEA. Other variables within the electrolytes/ metabolic & CBC's need to be factored as well when evaluating all of this ...

Yes, definitely could be a correlation with the hypothyroidism and hypogonadism. No doubt that both Free T4 and Free T3 are in the tank. Would really like to see antibodies (TPO and TgAb) and Reverse T3 to be able to comment better on your situation. Obviously, at 20yo, it's concerning, and I...

You had asked if the thyroid was "good"? The labs they gave you are outdated and pretty much useless for giving any assessment of how the thyroid is working. Anything noted "uptake" and "index" is junk! What you need is: Free T3, Free T4, Reverse T3, TSH (You got), and antibodies (TPO and...

There's just too much speculation with what's causing this? It sounds like your total serum levels are/at about a decent level, but there's no discussion of free or bio-available testosterone (Or SHBG for that matter, which would help us on the free/bio part). E2 "might" very well be an issue...

Keep us posted with the updated labs, and as mentioned, there's several great specialists like Dr. Saya at Defy, who can help.

Bingo! That's it. Estrogen on it's own doesn't regulate body temp.

As you've gathered, RT3 can be problematic when FT3 doesn't/can't reach the cells. However, it can also happen when other issues are present, being illness, stress, injury, etc., most things where the body is signalling it needs to conserve energy. With that said, YES, cortisol and...

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Thank you Dr. Saya!! That means a lot coming from you!

Yes, definitely stuff going on with RT3, which can stem from many areas, including illness, fatigue, imbalances, and other stress markers as indicated by HarryCat. The other criteria is measuring the FT3/RT3 ratio. Anything > 20 is ideal, yours is at 11.5, obviously confirming there's an issue...

Good information. I wear my Vallero on leg days, I feel vulnerable without it.

Yes, that's the pathway, she nailed it. Give her another 3 minutes and I'm sure she would tap on the pooling aspect of FT3 when the nutrients and other imbalances are present.

Dr. Saya, thank you for posting this. Do you know if there will be any changes to the free testosterone reference range as well? Thanks!!

On #1, I suggest looking more at the diet. Anything sugary after 6:00 PM can do that for me. On #2, HCG provides LH, HMG provides LH and FSH. Either one will provide you LH. HMG is preferred for fertility, having the FSH analog to promote activity with the sertoli cells. Either way, your...