Has TRT Caused Thyroid Problems For Me?

[Mr MJ]

I am at a crossroads in my life where I have all of the symptoms of a failing thyroid. I have been very
satisifed with my HRT of the past 13 years with stable levels of testosterone without the use of an AI. I have been injecting SubQ for the past 2 years which eliminated the use of arimidex. I am now awaiting
a full thyroid/adrenal workup. I am wondering if hrt was a contributing factor or not? I have a clean diet
and have felt pretty good with everything working like clockwork. I am now at a point in my life where
I am wondering if hrt somehow compromised my thyroid? Sorry if this is posted incorrectly.
Mr MJ,

 

[CoastWatcher]

Can you give us some test results? Help us put your question in context and the discussion will be more focused.

 

[Mr MJ]

I will post my labs when I see the Dr. I have been having cold hands/feet for the past 2 years. Low AM temp average of 97.2 and waking in the middle of the night with severe shivering. I am fatigued beyond belief in the afternoon and I also am experiencing heart palpitations on and off. The heart checks out ok with no problems at all. Depression also at times.
I see the Dr on the 15.

 

[CoastWatcher]

Was your thyroid evaluated prior to initiating TRT? What about during the course of therapy?

 

[Mr MJ]

Back in 2004 when I was first placed on HRT the only test that the Dr did was a TSH test. All through the years I believe that has been the only test that has been done regarding my thyroid. I have never had cold hands/feet or temperature issues ever. I have always had warm hands /feet and no other problems in that area. The only thing that I know that I did change in my diet/health is in 2015 I started taking celery seed extract 1500 mgs a day to help lower my blood pressure. I recently learned that it could of possibly affected my thyroid?

 

[CoastWatcher]

Back in 2004 when I was first placed on HRT the only test that the Dr did was a TSH test. All through the years I believe that has been the only test that has been done regarding my thyroid. I have never had cold hands/feet or temperature issues ever. I have always had warm hands /feet and no other problems in that area. The only thing that I know that I did change in my diet/health is in 2015 I started taking celery seed extract 1500 mgs a day to help lower my blood pressure. I recently learned that it could of possibly affected my thyroid?

Absent labs, all we're doing is speculating. It's unfortunate your thyroid wasn't monitored more closely. It seems possible, as I speculate again, that your TSH may well have been "in range," but actually sub-optimal. It's seen here all the time, as long as the value falls within the lab range, no further effort is made to determine just how well the gland is doing. In time, problems present themselves. A full panel, t3, t4, rt3, and thyroid antibodies will give you a more accurate picture.

 

[Mr MJ]

Here is what I have so far :

TSH 1.250 [0.450 - 4.50]
Free T4 1.13 [0.82 - 1.77]
Free T3 3.4 [2.0 - 4.4]


Vitamin D 25 Hydroxy 24.2 LOW [ 30 -100]


Iodine 51.2 [40 - 92] {Limit of quantitation} whatever that means?


I also had Candida testing done :


Candida antobodies IgG, IgA, IgM
IgG : 85 High [0- 29]


IgA : 37 High [0 - 9]


IgM : 20 High [0 - 9]


So as far as I can tell it appears that my Vitamin D is deficient and my Iodine levels are low. I don't understand enough about the thyroid levels to interpret them. I also know that when I am out in the sun or take vitamin D I feel a lot better. When I take supplemental iodine I also feel better. I do have what appears to be a mild case of oral thrush? What determines a systemic yeast infection? I am still awaiting results back from my adrenal saliva tests. I see the Dr on the 17 now. Thanks for your help.

 

[Mr MJ]

Dr visit on the 17th resulted in me being put on diflucan for 2 weeks due to a systemic candida. My salivary adrenal tests
were all normal and the Dr said my thyroid looked good. He said that HRT did not cause any thyroid or adrenal disorders which put my mind at ease. He was concerned that my Vit D was low but said that time spent in the sun and supplemental D would help bring levels back up. He also said that supplemental iodine once a week is all that would be needed.

 

[rhino5169]

Make sure to take a heavy duty probiotic after you're done with the diflucan. You can also follow a candida diet, I did for months.
This is what is take
https://vsl3.com

 

[Vince Carter]

I don't see a Thryoid problem, your numbers look pretty good to me, perhaps a little sub optimal for nothing to be treated in my opinion. I would as you're probably going to do already is supplement D3, I suggest 5000iu to start. I have to use 10000 to get to the top of the lab range but you should aim a little lower dose to start.

 

[ratbag]

I have similar thyroid labs but yet my ferritin is bottom of range and therefore automatically hypothyroid too with same symptoms Mr MJ has.

 

[Joey786]

Your thyroid looks great. I wish I had numbers like that