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Then I would check your thyroid levels with free t3, total t3, and reverse t3, making sure to skip thyroid meds the morning of the lab test. I used to have this, I have a diodinase gene defect and do not convert to t3 well at all and would end up with super high reverse t3.

What about international laws on testosterone and hgh? I tried looking for more information. It seems like some countries it was just illegal and some guys have to get testosterone on the black market as there is no hrt for testosterone

if your secondary hypogonadism then iron overload could certainly be why, actually, iron overload affects the pituitary as well as the testes. Thyroid - the reason why I bring that up is all these hormones work together - I noticed shbg was actually a shade lower, might be from low thyroid as...

If pregnenolone is low if it were me, I would test the entire adrenal pathway, am cortisol, acth serum, dhea-s, progesterone as well. If adrenal pathway hormones are low, especially dhea-s then that could be a sign of other issues such as adrenal deficiency, sai or pai

I think with 520 if it were me, I would want to know what my sex hormone binding globulin was, lh , fsh and estradiol sensitive. I would want to know exactly where I was at. Elevated shbg will increase the half life of testosterone making total testosterone look ok but actually make less...

Iron -serum - is not really a very good marker for iron status. Hematologist will typically look at ferritin and they don't like to see that much below 50 and they look at % sat which should be 25 to 35% and not above 45%. Then is ast and alt are elevated I would if it were me want a full...

If it were me I would get a full thyroid oanel with free t3 and reverse t3 I would also do a full iron panel with saturation and ferritin. I would include am cortisol and acth serum. I was on hcg monotherapy and never felt right

Most healthy guys really do have a level in that upper portion of the range of course shbg is a huge factor here reflecting free inbound levels. I think the doctors with experience with this issue know that most guys do not feel well with a total testosterone of 400 or less

Total and free should pretty simiar . Free t3 is in the upper portion somewhere then we would expected total t3 to be in the same regions. But it is not and total t3 is actually low on the range and and free t3 is in the upper portion. t3 antibodies are the big cause of that.

I think many factors go into wood and wood creation ability. Mental is certainly a component. Long story short, I am Pan Hypo Pituitary, today I am healthy and no health issues but 5 yrs ago, I had atrial fibrillation , ejection fraction of 10% (heart failure) no testosterone, no growth...

Well, the last time I have seen lab tests like that with a free t3 in the upper portion of the range but yet elevated tsh was with someone with a form of thyroid hormone resistance. However 12hrs after dose is based upon what a person should do that takes thyroid meds but with a sustained...

What are some numbers like lh , fsh serum , igf 1? shbg?

My question to when was your last dosage before that thyroid tested? free t3 is not matching up to how high your tsh is and there is a few reasons why This usually is. #1 you took your thyroid medication the morning of the lab test. it should be at least 12 hrs after your last dosage...

A few things that I would like to point out when it comes to elevated rt3 low free t3. or lower free t3. #1 free t3 is the active form of thyroid and the interference it has on current essays unless it is lc-ms/ms is reverse t3. They look almost identical and just testing free t3 may not give...

Sorry to hear you are struggling. Sounds like your thinking about a lot of things. Yes, iron can raise hct and rbc faster. If it were me. I would want to know if I were Secondary Hypogonadism and I would be checking some other levels full panels to see if there was an issue. Free and total...

I like that analogy very straight forward , simple , yet effective

The problem here is often times guys have secondary hypogonadism and never tested for Secondary adrenal insufficiency. If a guy has lower am cortisol (below 15) -according to the Cleveland Clinic and lower acth serum (35 or less) they need further testing for SAI.(or possible cyclical cushings...

Are you secondary hypogonadism? I always had low hdl, the reason was untreated pan hypo pituitarism particularly gh deficiency. My hdl is excellent now. Mine got very low at one time

That is exactly right, that is exactly what I am saying.

Hair loss can be low thyroid just as well. I will say this, including myself. I have seen 100's of labs of people that are on sustained release (12 hr post thyroid dosage-is what you need) and the sustained release does not work well for many. Some it does but not many. Also, if you have a...

Curious if you have ever had a full iron panel including saturation and ferritin? If those are elevated those can cause those symptoms as well.

I don't know what low normal means but if am cortisol is below 15 according to many and the Cleveland clinic you need further testing including provocative testing. If am cortisol is low along with lower acth serum (35 and below) that could indicate Secondary adrenal insufficiency. If it were...

So, low shbg means more free unbound estrogen. Estradiol Sensitive is both free and total estrogen. So, your total might be lower but your free unbound would be higher

Iron Saturation is the other that you need tested. Serum iron does not really tell you much. That is going to tell you what you need to know. Ferritin of 75 is just fine but you need a full iron panel I have Hemochromatosis Tests to Determine Iron Levels

Well, most healthy people really do have a free t3 that is in the upper portion of the range somewhere. So 3 to 6 5.5 or so would be good. Reverse t3 is made from t4 so, if you want to lower reverse t3 you need less t4 and more t3. You should not be taking your thyroid the morning of the lab...

If it were me, I would want to know what my am cortisol, acth serum and iron levels were. Reverse t3 is made from t4 and yours at 23.1 is too high. So, It is probably way over the top. A lot of reasons why one would have elevated rt3 levels including genetics. I actually have a diodinase...

No, but having low thyroid will increase the half life of cortisol-making cortisol levels higher. [Serum cortisol level variations in thyroid diseases]. - PubMed - NCBI

Adrenal insufficiency causes muscle wasting because of Myostatin levels. Not sure if you have primary adrenal insufficiency or secondary , however, low growth hormone , low testosterone, that causes insulin resistance as does low thyroid. People with Pituitary issue should check Reverse t3...