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Message: <blockquote data-quote="Vettester Chris" data-source="post: 16832" data-attributes="member: 696">Pep, I have a little bit to respond to a few of the thoughts ...On the thyroid, you can't presume RT3 is OK, just because the FT3 lab is in a similar area of the reference range as the FT4. At a glance, it might look like FT4 is converting fine, but in fact the FT3 could just be pooling, not getting into the cells, and FT4 might be shifting the conversion to RT3. It's a common theme with adrenal issues; specifically with cortisol. I don't expect your RT3 to be high either, as your overall thyroid hormone levels are low. However, I'll bet a protein shake that your RT3/FT3 ratio is not adequate!?!?On your two (2) theories ... Could be "Yes" and "Yes". Hypothyroidism can be linked to Hypogonadism, and vice-verse. Your labs obviously indicate that  both of these subjects are in play with you. I agree, the hormonal imbalances are causing a great deal of stress. However, is the pituitary anedomea the underlying problem? The body's natural course isn't to just stop or not produce these hormones. If steroids or other chemical/environmental variables are not a factor, then I'd have to presume the tumor is the culprit (?). I dunno! One last thought ... TRT could be an option if for some reason your endogenous production is not going to work. However, I'm doubtful at the moment that any attempt to directly correct the thyroid will be successful. If your circadian profile stands, I just don't see FT3 effectively reaching the cells, at least not in an optimal fashion. It's obviously easier said than done, but the adrenals and your circadian profile need to be improved in order for the thyroid hormone to work. If not, FT3 will just build and pool, which is no good! That's just my read on it, my .02, and there could be 100 other things I don't see here.</blockquote>

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