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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
22 Years Old - Starting TRT - HELP ME NOT **** MY LIFE
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<blockquote data-quote="Dr Justin Saya MD" data-source="post: 51661" data-attributes="member: 12687"><p>You have hypothyroidism with basically 4 abnormal thyroid parameters (low free T3, low range free T4, elevated thyroglobulin Ab - indicating an autoimmune component although not very high, and high reverse T3 - this makes your hypothyroidism even worse as it is a non-functional "lost" conversion of T4 -> reverse T3). </p><p></p><p>It also appears you have poor adrenal function with very low DHEA for your age. Your endocrinologist didn't want to address these? </p><p></p><p>As I said previously, in a young male such as yourself, if suspicion warrants, it is best to investigate these other possible CONTRIBUTING factors PRIOR to commencing TRT...these factors have now been CONFIRMED to be abnormal, so I will echo my previous sentiment: I would NOT begin TRT at this point as it may be unnecessary and ultimately counterproductive for you. Your thyroid and adrenal function should be addressed FIRST (along with *possible* concurrent HPTA stimulation - Clomid, WHILE addressing the thyroid/adrenals) as these are confirmed abnormal and may be the root cause of your low testosterone. </p><p></p><p>It would be useful to have a salivary cortisol X 4 done prior to speaking with me to further address your adrenal function now that we know it seems suboptimal.</p><p></p><p>Edit: it appears they checked thyroglobulin (not thyroglobulin antibody as suggested) - this should be checked as well. Have the endocrinologist (2) that you plan to see thoroughly examine your thyroid for size (enlarged/goiter?) and nodules.</p></blockquote><p></p>
[QUOTE="Dr Justin Saya MD, post: 51661, member: 12687"] You have hypothyroidism with basically 4 abnormal thyroid parameters (low free T3, low range free T4, elevated thyroglobulin Ab - indicating an autoimmune component although not very high, and high reverse T3 - this makes your hypothyroidism even worse as it is a non-functional "lost" conversion of T4 -> reverse T3). It also appears you have poor adrenal function with very low DHEA for your age. Your endocrinologist didn't want to address these? As I said previously, in a young male such as yourself, if suspicion warrants, it is best to investigate these other possible CONTRIBUTING factors PRIOR to commencing TRT...these factors have now been CONFIRMED to be abnormal, so I will echo my previous sentiment: I would NOT begin TRT at this point as it may be unnecessary and ultimately counterproductive for you. Your thyroid and adrenal function should be addressed FIRST (along with *possible* concurrent HPTA stimulation - Clomid, WHILE addressing the thyroid/adrenals) as these are confirmed abnormal and may be the root cause of your low testosterone. It would be useful to have a salivary cortisol X 4 done prior to speaking with me to further address your adrenal function now that we know it seems suboptimal. Edit: it appears they checked thyroglobulin (not thyroglobulin antibody as suggested) - this should be checked as well. Have the endocrinologist (2) that you plan to see thoroughly examine your thyroid for size (enlarged/goiter?) and nodules. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
22 Years Old - Starting TRT - HELP ME NOT **** MY LIFE
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