Do I have T3 pooling?

[Wild_Man]

I have been taking 2 grains (120mg) of NDT and recently got lab work done. The STTM (Stop the Thyroid Madness) community said I have T3 pooling going on because my Free T4 is low while Free T3 is high, indicating higher Reverse T3 not allowing the Free T3 to enter into the cells. Hence, the unused Free T3 is "pooling" in my blood where it cannot be utilized by cells. What does pooling mean? - Stop The Thyroid Madness

Do you guys believe in "T3 pooling" and why/why not?

Before NDT:
TSH: 9.71 (0.4-4.5)
Free T4: 1.1 (0.8-1.8)
Free T3: 3.6 (2.3-4.2)

After NDT:
TSH: 0.03 (0.4-4.5)
Free T4: 1.1 (0.8-1.8)
Free T3: 4.1 (2.3-4.2)

 

[Systemlord]

The STTM (Stop the Thyroid Madness) community said I have T3 pooling going on because my Free T4 is low while Free T3 is high, indicating higher Reverse T3 not allowing the Free T3 to enter into the cells.

Reverse T3 is inert, the lab testing picks up Free T4 as Reverse T3, because the testing is inaccurate. Reverse T3 also increases as you age as a protective measure as you become more sensitive to thyroid hormones overtime.

Ignore Reverse T3 and stop testing for it.

Are you consuming any iodine supplements?

 

[Wild_Man]

Reverse T3 is inert, the lab testing picks up Free T4 as Reverse T3, because the testing is inaccurate. Reverse T3 also increases as you age as a protective measure as you become more sensitive to thyroid hormones overtime.

Ignore Reverse T3 and stop testing for it.

Are you consuming any iodine supplements?

Yeah I didn't get Reverse T3 tested. Regardless of that, do you believe I have pooling going on?

And no, I'm not taking any iodine.

 

[Systemlord]

Regardless of that, do you believe I have pooling going on?

There’s no lab testing to determine thyroid resistance.

 

[FunkOdyssey]

I have been taking 2 grains (120mg) of NDT and recently got lab work done. The STTM (Stop the Thyroid Madness) community said I have T3 pooling going on because my Free T4 is low while Free T3 is high

Sounds like nonsense. When you take NDT, you get a ratio of T4:T3 that is not physiological (more T3, less T4 than normal human thyroid levels). Consequently, your T3 level will be high relative to your T4. When I took NDT the same thing happened to me.

 

[MarcoFL]

You have not said anything about how you feel???

 

[Wild_Man]

You have not said anything about how you feel???

I still feel hypothyroid and have the same hypothyroid symptoms as before. Basically no improvement.

 

[Wild_Man]

Sounds like nonsense. When you take NDT, you get a ratio of T4:T3 that is not physiological (more T3, less T4 than normal human thyroid levels). Consequently, your T3 level will be high relative to your T4. When I took NDT the same thing happened to me.

How come you’re not taking NDT anymore?

And I have Synthroid too. Should I add it on top of the NDT to increase FT4 levels?

 

[FunkOdyssey]

How come you’re not taking NDT anymore?

And I have Synthroid too. Should I add it on top of the NDT to increase FT4 levels?

I didn't have hypothyroidism, I was just eating a badly formulated low carb diet without enough fat or calories, causing me to feel cold and tired all the time. I never felt better than baseline on any thyroid protocol, and I tried many, including T4 only, NDT, T3 only, and various mixtures. It was all a complete waste of time.

Fixing my diet made the feeling cold all the time go away.

 

[Wolverine]

I didn't have hypothyroidism, I was just eating a badly formulated low carb diet without enough fat or calories, causing me to feel cold and tired all the time. I never felt better than baseline on any thyroid protocol, and I tried many, including T4 only, NDT, T3 only, and various mixtures. It was all a complete waste of time.

Fixing my diet made the feeling cold all the time go away.

Thanks! What is your diet? Macros?

 

[Wild_Man]

I didn't have hypothyroidism, I was just eating a badly formulated low carb diet without enough fat or calories, causing me to feel cold and tired all the time. I never felt better than baseline on any thyroid protocol, and I tried many, including T4 only, NDT, T3 only, and various mixtures. It was all a complete waste of time.

Fixing my diet made the feeling cold all the time go away.

Thanks for explaining, glad you figured it out.

I believe I have some sort of cortisol-related issue that is affecting my body’s response to thyroid hormones. I was hesitant to believe cortisol could be an issue as I know it’s a massive rabbit hole, however I think a low dose trial of cortisone acetate or Cortef could be worth doing.

 

[FunkOdyssey]

Thanks! What is your diet? Macros?

Carnivore with some fruit, like 30% protein, 65% fat, 5% carbs

 

[Ryan474]

Reverse T3 is inert, the lab testing picks up Free T4 as Reverse T3, because the testing is inaccurate. Reverse T3 also increases as you age as a protective measure as you become more sensitive to thyroid hormones overtime.

Ignore Reverse T3 and stop testing for it.

Are you consuming any iodine supplements?

Fwiw, I'm very skeptical of this video from Justin Groce. I wonder if he has significant clinical experience testing rt3 and treating people.

 

[Wild_Man]

Fwiw, I'm very skeptical of this video from Justin Groce. I wonder if he has significant clinical experience testing rt3 and treating people.

Can you post the link? I think you forgot to include it.