Elevated Reverse T3

[ivkonst2017]

Does somebody here managed to deal with elevated Reverse T3 and what was causing it in the first place?
FT4 is at the top of the range even can go above if I overdo the selenium, regularly supplementing selenium, zinc, vitamin d etc. FT3 is a bid mediocre(around 2.9-3.3ng/l in range of 2-4.4) and Reverse T3 usually 40-60 percent on top of the reference range.

What I have discovered so far that may be causing it - NAFLD, digestions issues and elevated acid in the stomach.
Can any of these cause high reverse T3?

Already started a week ago supplementation protocol for the NAFLD in combination with weight loss diet and high class enzymes for the stomach.

 

[Anonymon]

I’ve had elevated rT3 in the past, and for me it seemingly had something to do with digestive issues regarding the correct absorption of nutrients (Iron and B12), associated inflammation, and lower cortisol. BPC-157 is great for healing gut issues, and works even better alongside low dose HGH of 1-2iu a day.

 

[Nelson Vergel]

Low ferritin and its effect on slowing down thyroid function can cause high reverse T3.

Long term TRT even without frequent blood donations can decrease ferritin as the body seeks to balance higher red blood cell numbers and iron metabolism.

Iron supplementation can increase ferritin and decrease reverse T3. But some are afraid to supplement iron since they are concerned about raising hematocrit further.

 

[Nelson Vergel]

Some more info Essentials About Thyroid Hormones and Reverse T3

 

[ivkonst2017]

Low ferritin and its effect on slowing down thyroid function can cause high reverse T3.

Long term TRT even without frequent blood donations can decrease ferritin as the body seeks to balance higher red blood cell numbers and iron metabolism.

Iron supplementation can increase ferritin and decrease reverse T3. But some are afraid to supplement iron since they are concerned about raising hematocrit further.

Thanks, I will read your the topic you have linked. My ferritin is midrange which I have read is optimal(too high ferritin is said to cause inflamation). My iron is slightly ABOVE range which worries me, the doctors I've been to suspect this may be also connected to my stomach and liver issues.

As I have researched slightly elevated iron is not dangerous, but still too high iron as I know can cause blood clots...

 

[Nelson Vergel]

More info

Reverse T3 (also called Reverse Triiodothyronine) - Stop The Thyroid Madness

There are circumstances in life that can cause you to make too much Reverse T3, aka RT3. Read about it, what causes it and what to do about it.

stopthethyroidmadness.com

 

[Nelson Vergel]

Thanks, I will read your the topic you have linked. My ferritin is midrange which I have read is optimal(too high ferritin is said to cause inflamation). My iron is slightly ABOVE range which worries me, the doctors I've been to suspect this may be also connected to my stomach and liver issues.

As I have researched slightly elevated iron is not dangerous, but still too high iron as I know can cause blood clots...

How long have you been on TRT? Have you ever donated blood? Do you have your ferritin and iron lab values to share ?

 

[ivkonst2017]

How long have you been on TRT? Have you ever donated blood? Do you have your ferritin and iron lab values to share ?

I've been a year and a half on TRT. Never donated blood, my HCT and HGB and trombociti has always been nice and even to the low side(HCT around 48 for example). Iron increased when I switched from sub-q to IM.

I can share some results yes:

BEFORE TRT:
07.07.2018
Iron S 17.48 µmol/l 7.20 - 27.70
Ferritin S 231.4 µg/L 30 - 400 ECLIA

29.10.2019
Iron S 15.88 µmol/l 7.20 - 27.70
Total Iron binding capacity in Serum S 47.68 µmol/l 41 - 77 calc.
Unsaturated iron-binding capacity S 31.8 µmol/l
Ferritin S 321.2 µg/L 30 - 400 ECLIA

9 months after TRT and 1 month after switching to IM injections the first time I noticed increase:

25.09.2020
Iron S 35.7 µmol/l 7.20 - 27.70
Ferritin S 190.2 µg/L 30 - 400 ECLIA

11.12.2020
Iron S 30.47 µmol/l 7.20 - 27.70 PHOT
Ferritin S 202.4 µg/L 30 - 400 ECLIA

15.01.2021 Here came in range:
Iron S 18.69 µmol/l 7.20 - 27.70 PHOT

18.04.2021
Progesteron S 0.16 ng/ml 0.05 - 0.15 ECLIA
Bilirubin, total S 54 µmol/l 0 - 21 PHOT
Bilirubin, direct (conjugated) S 11.6 µmol/l 0 - 8.5 PHOT
Iron S 31.7 µmol/l 7.2 - 27.7 PHOT

The last results(18.04) I tested most of my markers that are bad. According to my doctor my progesteron is low although above the top of this range, bilirubin is always high, iron is what you see above, IGF one also is about 250-270 which is at the top of the range, I guess IGF can be high cause Im on cabergoline for 2 years now (2x 0.250mg weekly).

 

[Gianluca]

Does somebody here managed to deal with elevated Reverse T3 and what was causing it in the first place?
FT4 is at the top of the range even can go above if I overdo the selenium, regularly supplementing selenium, zinc, vitamin d etc. FT3 is a bid mediocre(around 2.9-3.3ng/l in range of 2-4.4) and Reverse T3 usually 40-60 percent on top of the reference range.

What I have discovered so far that may be causing it - NAFLD, digestions issues and elevated acid in the stomach.
Can any of these cause high reverse T3?

Already started a week ago supplementation protocol for the NAFLD in combination with weight loss diet and high class enzymes for the stomach.

Are you on a low carbohydrate diet? Do you eat enough animal protein?

 

[ivkonst2017]

Are you on a low carbohydrate diet? Do you eat enough animal protein?

Definetely not low on carbs or animal protein