Hello and need help about thyroid results

[hberg]

Hello,

i'm male, 32 and not on trt. I have ran a thyroid blood panel as i'm having many hypothyroid symptoms that indicate thyroid issues. Here are the results:

name	value	range
TSH	1.98 mIU/l	0.25 - 4.00
Total T3	0.856 µg/l	0.67 - 1.68
Total T4	75.1 µg/l	45 - 125
free T3	3.36 ng/l	2.30 - 4.20
free T4	1.22 ng/dl	0.90 - 1.90

Sadly rT3 was forgotten by the lab. All antibodies were under reference range.


My symptoms are brain fog, memory issues, dry skin, constipation. Also i'm feeling always cold, i never reach 37°C / 98.6°F (wilson temperature chart). In the sommer it's okay, but just in the last weeks when the temperature dropped i was freezing like crazy. The symptoms get worse over the years.

It seems the fT3 and fT4 looks all right / around middle of the range, but the TT3 and TT4 are on the lower side. What could be the reason? Iodine deficency? I thought about starting lugols.

Happy to hear some thoughts on this.

 

[Systemlord]

i'm male, 32 and not on trt. I have ran a thyroid blood panel as i'm having many hypothyroid symptoms that indicate thyroid issues.

You do not have a thyroid problem, something else is causing your symptoms. The fT3 is where the rubber meets the road and the severity of your symptoms doesn't match up with where your levels are.

It seems the fT3 and fT4 looks all right / around middle of the range, but the TT3 and TT4 are on the lower side. What could be the reason?

My fT4 is always low normal but my fT3 is better than midrange. The takeaway from this is I convert T4-> fT4-> fT3 efficiently enough. The thyroid function is always measured at the ->fT3.

The fT3 soaks into the cells, does all the amazing stuff.

I thought about starting lugols.

Iodine supplements will render TSH testing useless as it will increase the TSH.

In the sommer it's okay, but just in the last weeks when the temperature dropped i was freezing like crazy.

What's your A1C?

How about ferritin?

 

[GLJX]

How's your hemoglobin? I felt cold when mine was low.

 

[Systemlord]

How's your hemoglobin? I felt cold when mine was low.

Me also, 14.6 is just not enough. I was freezing at that level after a prolonged period of time.

 

[Systemlord]

In the sommer it's okay, but just in the last weeks when the temperature dropped i was freezing like crazy.

In summer you absorb more vitamin D than you do in the fall and winter months, vitamin D is essential to absorbing iron. Iron helps increase hemoglobin which then provides your body with oxygen.

If you're borderline iron deficient, this cycle of summer to fall could help explain feeling cold.

 

[hberg]

Thanks for the responses. Here my labs you two requested:

hemoglobin	15.2 g/dl	12.0 - 15.4
HbA1C	5.4 %	4.8 - 6.1
insulin	2.06 mU/L	2.6 - 24.9
glucose	85 mg/dL	75.0 - 115
HOMA	0.43
serum iron	75 µg/dL	35 - 168
transferrin	2.7 g/dL	2.0 - 3.6
transferrin-saturation	19.7 %	16.0 - 45.0
ferritin	185 µg/L	30 - 400

There were some labs that were out of range (my doctor is still on vacation so i got no feedback from him yet):

hematocrit	48.0 %	35.5 - 45.0
neutrophiles	35.2 %	42.0 - 77.0
lymphozytes	54.7 %	20.0 - 44.0
urea	46.7 mg/dl	15.0 - 40.0
uric acid	6.6 mg/dl	2.3 - 6.1

I have low neutrophiles and high lymphozytes for around 3 years now, before that they were normal. I had lowish folate (but not under reference range) and i'm taking folinic acid to correct it. I'm not b12 deficent (serum + holoTc), but i did b12 shots just to be sure.

My testosterone hovers around 600, but my free T was always were low (my SHBG was high).

My selenium is a bit on the lower side: 96.6 µg/l (90 - 230)

Also my wound healing is pretty bad, it needs forever to start and seems like it doesn't finish completely. Very strange.

 

[Systemlord]

My testosterone hovers around 600, but my free T was always were low (my SHBG was high).

I'm not surprised and I saw this coming. So don't let the better than midrange Total T fool you into thinking your situation is any better than a guy with low normal Total T, low SHBG and low free T.

Also my wound healing is pretty bad, it needs forever to start and seems like it doesn't finish completely. Very strange.

There is a strong correlation between low vitamin D and poor wound healing. I was diagnosed with a vitamin D deficiency last October for a second time and leading up to the deficiency, I was freezing cold and would get dry damaged skin and constipation not to mention cognitive side effects, moodiness, depression and brain fog.