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Ask The Urologist Anything (Dr Michael Rotman)
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<blockquote data-quote="charile12" data-source="post: 130796" data-attributes="member: 17293"><p>I agree with the other poster. I found dr rotman from this site. And appreciate that dr is not afraid to ask for help esp in this field. And your office is great esp Emily. Dr very accessible.</p><p></p><p>Btw my name is not charlie.</p><p></p><p>I have a question that i will state here i think it can help others.</p><p>I am pretty stable. Feel good. Though a couple months ago i switched to im injection and feel my e2 is lower than b4. But still feel good. I take no ai.</p><p></p><p>Heres my question. My tsh has been anywhere from 2.3-3.5. Free t3 keeps up - mid range. I am consistently on the very low end on total t4 and total t3. And free t4 usually on low end too. I am seeing an endo next week and expect to be put on t4 medication. I think my thyroid is struggling to keep up. And low total t3 and t4 can Indicate subclinical hypothyroidism. I do have some symptoms of hypothyroidism like cold hands during the day. One minute I could have cold hands 30 minutes later my hands feel fine. Sounds erratic to me and tells me thyroid struggling.</p><p></p><p>My shbg is in low mid 20s. I gather t4 meds can increase shbg. I also hope having a more efficient thyroid will help decrease my triglycerides.</p><p>I also read that ppl with hypo have slighly elevated prolactin and igf which i do.</p><p></p><p>Do you think i will need a protocol change with thyroid treatment?</p><p></p><p>Thank you.</p></blockquote><p></p>
[QUOTE="charile12, post: 130796, member: 17293"] I agree with the other poster. I found dr rotman from this site. And appreciate that dr is not afraid to ask for help esp in this field. And your office is great esp Emily. Dr very accessible. Btw my name is not charlie. I have a question that i will state here i think it can help others. I am pretty stable. Feel good. Though a couple months ago i switched to im injection and feel my e2 is lower than b4. But still feel good. I take no ai. Heres my question. My tsh has been anywhere from 2.3-3.5. Free t3 keeps up - mid range. I am consistently on the very low end on total t4 and total t3. And free t4 usually on low end too. I am seeing an endo next week and expect to be put on t4 medication. I think my thyroid is struggling to keep up. And low total t3 and t4 can Indicate subclinical hypothyroidism. I do have some symptoms of hypothyroidism like cold hands during the day. One minute I could have cold hands 30 minutes later my hands feel fine. Sounds erratic to me and tells me thyroid struggling. My shbg is in low mid 20s. I gather t4 meds can increase shbg. I also hope having a more efficient thyroid will help decrease my triglycerides. I also read that ppl with hypo have slighly elevated prolactin and igf which i do. Do you think i will need a protocol change with thyroid treatment? Thank you. [/QUOTE]
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