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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Advice on HRT
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<blockquote data-quote="Vettester Chris" data-source="post: 6565" data-attributes="member: 696"><p>EC, apologies for the delay. Thanks again for such thoroughness with your posting.</p><p></p><p>OK, I'm basing some of my thoughts on the December labs, since your most recent ones don't have the Reverse T3. With RT3 we are looking for healthy ratios, based in comparison to your T3; either Total or Free T3. STTM notes FT3 should be 20:1 or better in comparison to RT3. IMO, 20:1 is even a little conservative, but that's just my take ... Your FT3/RT3 Ratio is 16, which is indicating that RT3 conversion from T4 is a little higher than what you would want.</p><p></p><p>There's several factors that were going on at that time, which could be contributing to this. Your Iron Serum was a little on the low side (IMO), and high levels of cortisol can be a factor, which was evident at least by the presented serum lab. Again, it would have been more ideal to see a 24 hour circadian profile on your cortisol to really get the gist of it, but maybe next time you can broach that. Like you stated, some of those areas on your recent labs have improved, and you notice in similar fashion that your FT3 has climbed up, thus effecting the feedback loop with your pituitary and the TSH it produces. I would suspect if you had also ordered a RT3 lab, the result probably dropped several points, which in turn probably helped TT3 and FT3 activity to be more productive. That's all speculation on my part, but I'll put $5 bucks on it that I'm not too far off the path on this.</p><p></p><p>Just to tap on actual thyroid level amounts ... I support many in the medical community that believe optimal levels of FT4 and FT3 will be at 50% to 80% of their respective range values. On your December labs, your FT4 was 43% and FT3 was at 29%. Again, the RT3 level makes a little more sense why FT3 was much lower then, as compared to your recent labs. FT3 is now a little over the 50% mark, but FT4 is still a little low at 49%. </p><p></p><p>Regardless of anything I mention to you, I think it's imperative that you do some additional research on your Tg antibody lab, and possibly review it with another physician (if needed) to help you get to the bottom of it. My suspicion is Hashis at the protein level of the thyroid. If it is, it can be dealt with, managed, and still medicate with NDT medications if needed. Definitely don't just let it go, I think it should be addressed.</p><p></p><p> If it is Hashis, the attacks can come and go, and you will get bouts where you feel 'hyper' like, then periods where it goes 'hypo'. What's the best route for you? Good question. That's where you need to really align with a physician that can factor these variables, and other things that can help him/her to get you where you need to be.</p></blockquote><p></p>
[QUOTE="Vettester Chris, post: 6565, member: 696"] EC, apologies for the delay. Thanks again for such thoroughness with your posting. OK, I'm basing some of my thoughts on the December labs, since your most recent ones don't have the Reverse T3. With RT3 we are looking for healthy ratios, based in comparison to your T3; either Total or Free T3. STTM notes FT3 should be 20:1 or better in comparison to RT3. IMO, 20:1 is even a little conservative, but that's just my take ... Your FT3/RT3 Ratio is 16, which is indicating that RT3 conversion from T4 is a little higher than what you would want. There's several factors that were going on at that time, which could be contributing to this. Your Iron Serum was a little on the low side (IMO), and high levels of cortisol can be a factor, which was evident at least by the presented serum lab. Again, it would have been more ideal to see a 24 hour circadian profile on your cortisol to really get the gist of it, but maybe next time you can broach that. Like you stated, some of those areas on your recent labs have improved, and you notice in similar fashion that your FT3 has climbed up, thus effecting the feedback loop with your pituitary and the TSH it produces. I would suspect if you had also ordered a RT3 lab, the result probably dropped several points, which in turn probably helped TT3 and FT3 activity to be more productive. That's all speculation on my part, but I'll put $5 bucks on it that I'm not too far off the path on this. Just to tap on actual thyroid level amounts ... I support many in the medical community that believe optimal levels of FT4 and FT3 will be at 50% to 80% of their respective range values. On your December labs, your FT4 was 43% and FT3 was at 29%. Again, the RT3 level makes a little more sense why FT3 was much lower then, as compared to your recent labs. FT3 is now a little over the 50% mark, but FT4 is still a little low at 49%. Regardless of anything I mention to you, I think it's imperative that you do some additional research on your Tg antibody lab, and possibly review it with another physician (if needed) to help you get to the bottom of it. My suspicion is Hashis at the protein level of the thyroid. If it is, it can be dealt with, managed, and still medicate with NDT medications if needed. Definitely don't just let it go, I think it should be addressed. If it is Hashis, the attacks can come and go, and you will get bouts where you feel 'hyper' like, then periods where it goes 'hypo'. What's the best route for you? Good question. That's where you need to really align with a physician that can factor these variables, and other things that can help him/her to get you where you need to be. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Advice on HRT
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