Thyroid labs thoughts.

[finkelet]

Hi All.

I am in the middle of a Clomid restart and Dr Saya wanted me to run a thyroid panel because on my Pre HRT panel my TSH was elevated.

About me. 39 5'11 245 pounds. Active with a fairly healthy diet. All of the low T signs that I'm learning can also be low thyroid. Fatigue, weight gain, poor exercise tolerance, low motivation and sexual issues ect.

Past history of HTN, high cholesterol, sleep apnea. All controlled. I do take lipator.

So here is my thyroid panel. I am following up with Defy's PA after the first of the year, but would appreciate your thoughts about what's going on and treatment ideas.

Thanks Guys



Free T4 - 1.31 - Range of 0.82 - 1.77
TSH - 4.4 - Range of 0.450 - 4.500
Reverse T3 - 16.3 - Range of 9.2 - 24.1 -
Triiodothyronine , Free, Serum - 2.8 - Range 2.0 - 4.4
TPO Ab - 429 - Range of 0 - 34 High!
Thyroglobulin Ab - 6.1 - Range 0.0 - 0.9. High!

 

[FrankUnderwood]

those last 2 antibody tests are usually indicative of some sort of thyroiditis iirc, possibly hashimotos.

 

[finkelet]

I had my follow up with Melissa Dr Saya's PA. First of all I, as a clinician I was very impressed with her and am confident in her care.

There is obviously an auto immune thyroid component. Likley Hashimotos. So we are going to start on NDT 0.5 grain titrating to 1 grain if I tolerate it and add 200 mcg Selenium. Retest in 1 month.

On the Test front will stay with clomid for another month but increase to 25 mg with 0.25mg AI compounded. I had some result with 12.5 mg but not as much as hoped. Will evaluate next month to stay with Clomid or move to TRT.

At my next follow up with my PCP will request a thyroid US.

Will keep you all updated. Thanks for all the support.

 

[FrankUnderwood]

thanks for the update, looking forward to your next post.

 

[Vince Carter]

Ya you're def looking at something in the range of Hashi's, your TSH is extremely high as as the antibodies.