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Quick update, I've been titrating up for 3 weeks now. I started at 1.5 grains, 1 in the morning and .5 in the afternoon. I tried to do the 1.25 but I only have .5's and they are damn near impossible to split- so I just took a few day to let the levothyroxine wear off before starting. I am now...

Funny you should ask, I started doing this the day before I posted. I've cut out all grains, dairy, sugar, and sweeteners (basically following the Whole30 guidelines). But to answer your question: my regular diet has been "healthy" (nutrient-dense foods, lots of protein and good fats, minimal...

Will do. Thanks Chris. I will post labs once I've been at this for a few weeks.

You are correct, TPOab has been the issue, althought TGab was slightly up and out of range for the first time on my most recent labs. The last time I had it checked, I had an RT3 of 16.1 ng/dL (9.2-24.1) to a FT3 of 3.1 pg/mL (2.0-4.4), but this was over a year ago. Thank you very much for all...

Thank you Chris. I have not, in the past, had an issue with pooling but it certainly could be a recent development. How would you suggest I go about switching meds? I've read suggestions ranging from "just start taking an equivalent dose" to excruciatingly slow ramp ups. Additionally, what do...

I would only view it as a negative if I were to later find out that there was some correctable, underlying reason that I couldn't keep my FT3 up on levothyroxine. Happy to make the switch, I just don't want the hassle of dosing throughout the day, being careful with food/coffee if that's not...

Hey guys, I posted a while back when I was diagnosed with Hashimoto's. I've come a long way, but my energy levels are still not anywhere close to what they were. I'm now up to 125mcg of levothyroxine daily. At first it seemed like I was making T3 nicely, and that perhaps T4 monotherapy would...

You are on a rather high dose of testosterone. One of our experts should chime in on this, but if you would feel comfortable reigning it back a bit, your lipids may thank you. Have you had a full CBC/CMP + lipid panel on this regimen?

I was doing Optimen from ON with additional Kelp (NOW brand I think). I'm experimenting with Legion Triumph as of a couple of weeks ago. I'm planning on doing a full panel (esp TPO) once I get home from a trip this weekend. I'll be sure to post the results. Thank you for your input, I...

I've been far too slow to update and I apologize. My sincere thanks, again for all of your contributions. Here's the latest: After meeting with my endocrinologist, and soon after, Dr. Saya, I began levothyroxine therapy at 75mcg/day. I was apprehensive at first, given all that I'd read about...

A) That's quite an interesting theory. Thank you for providing the literature to back it up as well. B) I started season 4 of House of Cards right before I read your post. Kind of spooky.

I'm with you. I've had 8 cardiologists weigh in on these arrhythmias. That's about 6 too many cooks in the kitchen. Wish you the best as well.

I understand, and I appreciate the concern CoastWatcher. There's a bit of a waitlist to see Dr. Saya, a testament to his prowess as a physician. He's in the loop.

Chris, so I can prepare myself for Monday, if I'm being offered synthetic T4, would you recommend I push for something like Armour instead?

Well first it was, "so when did you stop using anabolic steroids"? But depression certainly came up. Talk soon, Dr. Saya. Thank you.

I have a pituitary microadenoma that is (supposedly) nonfunctioning. I did try clomiphene, I believe up to 50mg, which pushed my total T near 600 or so, but without significant symptomatic relief.

2/2014 TSH 3.94 (.45-4.5) T4 1.00 (.82-1.77) 3/2014 TSH 2.96 (.45-4.5) T4 5.2 (4.5-12) T3 Uptake 35 (24-39) Free Thyroxine Index 1.8 (1.2-4.9) 1/2015 TSH 4.5 (.45-4.5) Triiodothyronine 3.7 (2.0-4.4) T4, free, direct 1.14 (.82-1.77) Sorry in advance for the archaic tests. If only I'd known...

so I should have added this- I had "normal" thyroid studies following HH diagnosis. I say "normal" because I felt the interpretation was rushed, at best. I remember TSH was high, but in range (say, 4.4), fT4/fT3 were about mid range, and I don't think they ordered the Ab tests (god that's...

Beginning selenium and kelp now. This is just the latest in a series of things that I'm beginning to think must be related, despite what I'm being led to believe. I had a vasovagal/neurocardiogenic syncopal attack back in 3/2012 (with aura/prodrome). Cardiac and neuro workups all...

Thanks again Chris. I will get on this and update with any additional info on Monday. I wish I had nearly the understanding of the thyroid gland as I did the HPA stuff, otherwise I would have respectfully suggested which labs I needed.

Thanks Dr. Saya. I will pick up a selenium supplement this evening, and I look forward to our consultation. Your front office team has been great.

I'm going to keep the appointment as I trust this guy, but I'm certainly pushing to get my consult ASAP

Results are in. WOW. TSH: 5.5 (.5-4.7) Free T4: .73 (.73-1.95) T3 Uptake: 27% TPOab: 594 (>9) TGab: 1 (<4) Working to get PCP on phone. Endocrinology appt on Monday. What should I prepare myself for?

Can't thank you enough, Chris. I will report back ASAP with the full panel. Your note about iodine and selenium may be right on the money. Thinking about it, I've recently ditched my multi in favor of supplementing individual vitamins and minerals, specifically to address issues with B...

I hoped I might get a response from you, Chris. Thank you. Out of curiosity, what does a TSH this high usually indicate? Are we talking autoimmune or infiltrative disease? LH is essentially zero and has been for some time. This bloodwork was actually the workup for a Defy consult. In...

This is the first time I've had TSH elevated out of range. I am currently digging for those old labs to see if they were telling me something that no one noticed. No full panel yet, getting one tomorrow.

I've been on HRT for almost 2 years, HCG monotherapy for the first year, test+HCG for about 8 months. I had several normal thyroid studies prior to beginning HRT, and one normal study while on HCG. Today, as part of a work up for a new physician, my TSH came back at 8.005 (.45-4.5). I am...

I agree with you. I'm curious though; besides Defy, is there really an appreciable number of practices that insist on using the LC/MS test for estradiol in males? I've considered myself very lucky to have even found a doctor willing to prescribe HCG alongside testosterone. Perhaps the HRT...

I absolutely will. Thanks ERO.

I have been feeling essentially the same since the first set of labs, which makes sense now seeing that the E2 value hasn't budged much. I am going to go .25mg E4D for a couple of weeks, and barring a surge of high-E2 symptoms, I'll stop the AI completely and retest in 3 weeks.

I do plan to explain the situation the next time I go in, hopefully having achieved a better T/E balance by then. The issue isn't so much the 2mg/wk of AI. This was prescribed by a previous doctor when I was on HCG monotherapy, and I was experiencing pre-gyno all the way up to that dose. The...