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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Need help solving fatigue. Very high Reverse T3, low-ish cortisol.
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<blockquote data-quote="Vettester Chris" data-source="post: 75329" data-attributes="member: 696"><p>Yes, definitely stuff going on with RT3, which can stem from many areas, including illness, fatigue, imbalances, and other stress markers as indicated by HarryCat. The other criteria is measuring the FT3/RT3 ratio. Anything > 20 is ideal, yours is at 11.5, obviously confirming there's an issue. Also, keep in mind, the body will shift the demand for RT3 when Free T3 starts pooling, meaning it is 'not' adequately reaching the cells of the body. The two (2) primary markers to look at it cortisol and iron/ferritin (other electrolyte areas important too). </p><p></p><p>My initial take is you have some adrenal issues taking place (?). You will find many of the top adrenal specialists like Dr. Lam and Dr. Wilson note that A.M cortisol should be right towards the top of the reference range, call it 90% or even more. Yours is sitting at 60.8%. The two mid-day labs just drop to the bottom from there, below reference range (which is the two (2) that DiagnosTech will focus on when evaluating adrenal fatigue), and PM just barely hangs on at the bottom end of the ref. range. There's no DHEA correlation, which I don't think LabCorp provides (?), but my opinion is that you're somewhere in the Stage 5 to Stage 7 Adrenal Fatigue, based on Total Burden values and your circadian profile.</p><p></p><p>So, I'd say there's probably a very 'good' chance that your thyroid situation is stemming directly from the adrenals; primarily your cortisol reserves. HC therapy and other treatments can get this on track, but I would think a doctor might want to look at things a little further, possible ACTH and other labs + exams? Trying to do some form of thyroid treatment could/might be a bit complicated, as stated earlier, FT3 is dependent on things like Cortisol and Iron to make it to the cells. When it doesn't have it, the body reacts with triggering RT3 to conserve energy and bunker down ... You can see how this all works full circle and in collaboration ...</p><p></p><p>Keep us posted on any updates. Thanks</p></blockquote><p></p>
[QUOTE="Vettester Chris, post: 75329, member: 696"] Yes, definitely stuff going on with RT3, which can stem from many areas, including illness, fatigue, imbalances, and other stress markers as indicated by HarryCat. The other criteria is measuring the FT3/RT3 ratio. Anything > 20 is ideal, yours is at 11.5, obviously confirming there's an issue. Also, keep in mind, the body will shift the demand for RT3 when Free T3 starts pooling, meaning it is 'not' adequately reaching the cells of the body. The two (2) primary markers to look at it cortisol and iron/ferritin (other electrolyte areas important too). My initial take is you have some adrenal issues taking place (?). You will find many of the top adrenal specialists like Dr. Lam and Dr. Wilson note that A.M cortisol should be right towards the top of the reference range, call it 90% or even more. Yours is sitting at 60.8%. The two mid-day labs just drop to the bottom from there, below reference range (which is the two (2) that DiagnosTech will focus on when evaluating adrenal fatigue), and PM just barely hangs on at the bottom end of the ref. range. There's no DHEA correlation, which I don't think LabCorp provides (?), but my opinion is that you're somewhere in the Stage 5 to Stage 7 Adrenal Fatigue, based on Total Burden values and your circadian profile. So, I'd say there's probably a very 'good' chance that your thyroid situation is stemming directly from the adrenals; primarily your cortisol reserves. HC therapy and other treatments can get this on track, but I would think a doctor might want to look at things a little further, possible ACTH and other labs + exams? Trying to do some form of thyroid treatment could/might be a bit complicated, as stated earlier, FT3 is dependent on things like Cortisol and Iron to make it to the cells. When it doesn't have it, the body reacts with triggering RT3 to conserve energy and bunker down ... You can see how this all works full circle and in collaboration ... Keep us posted on any updates. Thanks [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
Need help solving fatigue. Very high Reverse T3, low-ish cortisol.
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