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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Hashimotos Hypothyroid and TRT, Any One Else Suffering?
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<blockquote data-quote="Vettester Chris" data-source="post: 32161" data-attributes="member: 696"><p>Yes, a good GP should be someone who partners with you, and you can collaborate everything you do with both physicians. My GP, by admission, is not a hormone specialist or endocrine expert, at least not getting in depth with treating adequately. However, she listens very well to what steps I take for my HRT.</p><p></p><p>On your Hashis ... Is it at the enzyme or protein level (TPO or TgAb) or both? Do you have your lab results, and can you post your other thyroid labs? Adequate dosages of selenium can make big differences. Also, the AI attacks have the potential decrease exponentially with adequate thyroid hormone treatment. </p><p></p><p>125mcg when settled out is equaled to about 1-1/4 grain of NDT. That IMO wouldn't be nearly enough to make a dent into the AI attacks, but anything administered for this purpose should be heavily supervised by a physician that has experience in this field.</p><p></p><p>To conclude for now, you mentioned having a conversion problem from T4 to T3. There could be a few different talking points with this subject, but as mentioned earlier, it would be good to see the labs, PLUS a Reverse T3 lab. If excess RT3 is converting from T4, then at a glance it could appear Free T3 is not sufficient. Additionally, 125mcg of Levo T4 could also just be too low of dosage to really make any impact. Ultimately it is usually pretty good to get both FT4 and FT3 in the 50% to 80%-tile of the reference range, with consideration to ensure the FT3/RT3 ratio is 20< . For what it's worth, I think you will get much more bang for the buck with NDT -vs- T4 only synthetics, and you can administer your dosage to get the right area/range for T3; adding a "little" T4 if needed to balance it out a little.</p></blockquote><p></p>
[QUOTE="Vettester Chris, post: 32161, member: 696"] Yes, a good GP should be someone who partners with you, and you can collaborate everything you do with both physicians. My GP, by admission, is not a hormone specialist or endocrine expert, at least not getting in depth with treating adequately. However, she listens very well to what steps I take for my HRT. On your Hashis ... Is it at the enzyme or protein level (TPO or TgAb) or both? Do you have your lab results, and can you post your other thyroid labs? Adequate dosages of selenium can make big differences. Also, the AI attacks have the potential decrease exponentially with adequate thyroid hormone treatment. 125mcg when settled out is equaled to about 1-1/4 grain of NDT. That IMO wouldn't be nearly enough to make a dent into the AI attacks, but anything administered for this purpose should be heavily supervised by a physician that has experience in this field. To conclude for now, you mentioned having a conversion problem from T4 to T3. There could be a few different talking points with this subject, but as mentioned earlier, it would be good to see the labs, PLUS a Reverse T3 lab. If excess RT3 is converting from T4, then at a glance it could appear Free T3 is not sufficient. Additionally, 125mcg of Levo T4 could also just be too low of dosage to really make any impact. Ultimately it is usually pretty good to get both FT4 and FT3 in the 50% to 80%-tile of the reference range, with consideration to ensure the FT3/RT3 ratio is 20< . For what it's worth, I think you will get much more bang for the buck with NDT -vs- T4 only synthetics, and you can administer your dosage to get the right area/range for T3; adding a "little" T4 if needed to balance it out a little. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Testosterone Basics & Questions
Hashimotos Hypothyroid and TRT, Any One Else Suffering?
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