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Well, then you will never know what the actual issue is. If the person has pituitary issues then they need a full workup to see what other hormones they are low in. Just giving hc, that is a very incomplete treatment, what about desmopressin, what about fludrocortisone, what about growth...

You should never just take hc, one should fine out if they are Secondary adrenal insufficiency. They need a am cortisol and acth serum tested then a Insulin tolerance test or Metyrapone stim test done to see. Also, test for growth hormone deficiency

You have iron overload. (hemochromatosis. They would probably call that iron avidity since your ferritin does not quite qualify for what most people would have for iron overload. The ferritin would be above 300. non the less That is way to high pretty common finding for hemochromatosis...

If your cortisol is low, then you need to find out why it is low, That is why you guys need a acth serum test. If acth serum is low and am cortisol is low you need a metyrapone stim test or Insulin tolerance test done for SAI. That is not stress and it is only solved by hydro cortisone. If...

You have to have enough cortisol and iron to facilitate any thyroid otherwise you will feel horrible. Some generic hydro cortisone brands are so bad you might as well not take anything like qualitest which is probably what that was.

T4 has zero metabolic activity. If a person has elevated reverse t3 adding in t4 makes it worse as that is what reverse t3 is made from

You need to find out if you are Secondary hypogonadism and if you are, you need a whole pituitary panel done for Secondary adrenal insufficiency , growth hormone and more

#1 what brand of t3 are you using? Very important, #2 How many hours since your last dosage did you test your thyroid levels? #3 did you test am cortisol and acth serum? #4 are you secondary hypogonadism?

TSH is not a thyroid hormone and it in itself does not mean a whole lot. Free t3 is the active hormone that we can use. Low Carbohydrate and diets in general can cause changes in t3 and reverse t3 but I am not sure about tsh levels, as dieting in itself would not necessarily affect production...

No iodine for this guy, really increased tpo antibodies. Selenium actually got elevated so I stopped that selenium rbc tested. hc, yes I take that I am pan hypo pit. along with gh, testosterone, thyroid, fludro,

I have dio2 rs225014 c/c dio1 rs2235544 a/c dio1 rs11206244 c/t Honestly, there is nothing wrong with taking more t3, it doesn't have to convert, gets right in there by bypassing all of that. Most people take 50mcg t4 or less and the rest t3 and they are way better by doing that

I have not looked into peptides but interesting to look into Thank you If you have info on peptides or any other therapy post that up I am all about that

t3 antibodies interfere with that test could make free t3 artificially elevated more than it is. that is one reason why people should do a full panel with total t3 to see what is going on. reverse t3 should be in the low end of range not the upper I dont remeber what yours was. The other...

Genetic testing different ones came up some time when I have time I will look for that. I did that testing for the doctor but it didnt matter t4 t3 / t4 combo ndt thyroid compounded it didnt matter i felt horrible on all of those for 20yrs All I would end up with is super high reverse t3 way...

If iron saturation was high I wonder what ferritin was ? Iron saturation should ideally be 25 t 35 % damage occurs above 45%. That sounds like iron overload to me.

That is definitely suspicious. If it were me I would be getting a Insulin tolerance test or a metyrapone stim test , that I will tell you.

I was worked up and diagnosed by an endo. The ITT stim and glucagon stim is what I had and I stimmed to .5 with 5 or less passing so it was very low. However, parts of my treatment were not working such as thyroid. I have a diodinase gene defect and I had super high reverse t3 that he would...

So, that was part of it. I am secondary Hypogonadism. Long story short I am pan hypo pituitary. I also have a diodinase gene defect which is another reason why I cannot do t4 only or combination. I ended up not just on testosterone but I also am on hydrocortisone, fludro, Growth hormone...

When you say normal lh and fsh, were these at the top of the range or bottom of the range? lh and fsh in the am are typically in the upper part of the range for a average healthy guy with out any pituitary issues. For someone that has pituitary or hypothalamus issue, they may be in the normal...

So, and your not on thyroid meds? Do you know yet what reverse t3 number was? That would be very important. With elevated tsh and elevated or normal t3 levels to me, #1 that looks like a form of thyroid resistance. or #2 have you checked total t3? Sometimes people have t3 antibodies which...

I have seen a huge amount of labs over the years and a free t3 like that with an elevated tsh points to a type of thyroid hormone resistance, which could be a reverse t3 issue. I am assuming rt3 is 15 and under? is that the case? I honestly never see that tested outside the USA but that is...

Now, I will tell you, I was in the same boat about 6 years ago , not from dieting my reverse t3 was always high 36, 50, 100 crazy high. The doctor insisted doing Dessicated thyroid. I felt terrible, a little better at first but terrible and hypothyroid. My rt3 levels certainly did not go down...

IF it were me, I would want to know if your Secondary Hypogonadism, or primary Hypogonadism. I would also then want more evaluation on that cortisol, by testing am cortisol and acth serum. I would also want to know DHEA-s levels, IgF-1 . IF your secondary which is what I was, I also had low...

I personally would not take anything with t4 in it,with a reverse t3 that elevated. I have been there, ndt, synthroid anything with t4 will increase reverse t3 because that is how reverse t3 is made from t4. That being said, let us know how you feel.

I agree with others. t3 can be lower and rt3 can be higher when doing low carb or calorie restriction. Some people leave that alone when they are dieting and some feel fine. However, that should not affect tsh. yours is elevated. That is telling me, your body wants more thyroid. I would be...

The one thing I can say is people that have a high rt3 levels never feel well and they never have a good metabolism, no matter what their free t3 level is. I see it all the time, their doctors add in t3 on top of having a elevated rt3 and they never feel well. In my case, the endo would move...

t3 in normal ranges does exactly the same thing to shbg as a normal person with normal thyroid levels would do. t3 is just the active form. that is it. Hyperthyroidism (free t3 over the range) yes that could increase shbg quite a bit. As far as how much t3 a person needs depends on their...

We do know a few things, we know that children with elevated rt3 despite high thyroid levels from over replacement do not have hyperthyroid symptoms and high rt3 is why they think that. We also know that when studying older people, the ones that had high elevated rt3 above the range, were not...

So, if it were me, I would be testing a full iron panel with saturation and ferritin. Ferritin should be closer to 70 for deiodinase (thyroid conversion) and saturation should be 25 to 35%. Most would say 15 and below is not bad for reverse t3. Some will tell you to get that below 11. How...

You cannot be hyperthyroid with a free t3 in the normal range. Reverse t3 is made from t4, so if you want to have less reverse t3 you need less t4. Most people that do not have a conversion issue really do have a reverse t3 at the bottom of the range. Like my brothers was 8,9, 11 same as my...

I will say that more urologists are getting it a little better for sure. I have a buddy that is getting testosterone from his urologist. When his family doctor left he found another doctor who insisted he take a drug test because it is a controlled substance only to later tell him she would...