Thoughts? I'll be 60 in a month. My TSH has steadily increased over the 4 years on TRT, from
below 1.00 to the current value. I'm not sure if this could be a function of the treatment, or the changes in my diet over this time; or other factors. This is the first panel I've done, albeit long overdue.
Test | Results | Range |
TSH | 3.34 | 0.450-4.500 |
Reverse T3 | 22.0 | 9.2-24.1 |
Antistreptolysin O Ab | 23.9 | 0.0-200.0 |
Thyroid Peroxidase (TPO) Ab | 14 | 0-34 |
Triiodothyronine (T3), Free | 2.9 | 2.0-4.4 |
T4, Free Direct | 1.32 | 0.82-1.77 |
OK, good stuff on the thyroid, you got the correct labs, good job!
Your FT3 is at 37.5% of reference range
Your FT4 is at 52.6% of reference range
Ideally, it would be good to see both of these values between 50% and 80% of reference range, with TSH < 2.0. Your TPO Ab isn't over the top, but there is some detection. Make sure you are adding selenium and iodine to your routine.
At a glance, a lot of physicians would probably get you going on a hypothyroidism treatment protocol. However, there's one variable that is key, and I suggest you explore it first ... Your Reverse T3 ... Although it's not over reference, I like to see where it sits in relation to Free T3 and the ratio thereof. Your FT3/RT3 ratio is at 13.18. Different communities have different opinions on this, but for me I'd like to see it > 20.
RT3 can elevate and have an imbalance with FT3 for simple things like having a cold or flu, mild injury, or/ and stress. Or it can be more complicated with a myriad of illnesses and/or infection, and more common it can be an imbalance in iron & ferritin, and also with cortisol (which obviously plays into stress and other factors). Even certain elctrolytes and D3 can play a role with all of it, but my first advise is to look at iron/ferritin and cortisol first. If iron/ferritin is low, FT3 "will not" adequately reach the cells. The body will then shift to a higher conversion of T4 - RT3 conversion. Same story with cortisol.
Again, great job on
thyroid labs, BUT, needing iron, ferritin, TIBC, CBC's, comp metabolic panel, and a 4x saliva cortisol w/DHEA correlation analysis would be the icing on the cake. We need to see the circadian profile of your adrenals "if" you have it checked(?)
Let us know, and if any of these other labs are in your possession please post them up on this thread.
Thanks!!