I Need Help to Interpert Thyroid Results, Doctor won't Help

ThisGuy

New Member
Hello everyone.

I've been on TRT for about 2 years (100mg twice a week, 0.25 arimidex at the time of injections). 4 months ago my labs showed:
TSH: 2.12 (0.15-4.5)
T3: 1.1 (0,8-2)
T4: 7 (4.5-12)
FT4: 15 (11.5-23)
FT3: 3.3 (2.5-5.8)
Bloods were taken in the morning

After that my endo put me on 25mcg of T3 daily. My last labs (bloods taken last week) showed:
TSH: 2.83 (0.15-4.5)
FT3: 4.5 (2.5-5.8)
FT4: 13.6 (11.5-23)

I asked my doc why even though my FT3 went up, my FT4 went down and so did my TSH and he said that I need a larger dose and increased my T3 dose to 50mcg daily. I did my reasearch and a lot of peole suggested that I need some T4 dose combined with my T3 dose to keep the balance between them.

Does anybody have any suggestion on what's going on? I'm ging to see another endo next week but I see that there are a lot of knowledgeable people around here. Any help will be greatly appreciated.
 
RT3 tells us weather your cells/organs/tissue are actually getting thyroid. Your labs show what in your blood stream but this doesn't actually tell us that its working the way its supposed to. Along with RT3, iron labs and ferritin and sometimes even adrenal salivary testing is necessary to determine why RT3 can be too high.
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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