TRT and Thyroid Health

captainblack

New Member
Dear All

I have just started TRT 50mg T.E every 3.5d and 500iu HCG every 3.5d.
Here were my latest results before starting TRT.

TESTOSTERONE 17.6 nmol/L 7.60 - 31.40
FREE-TESTOSTERONE(CALCULATED)*0.236 nmol/L 0.30 - 1.00
17-BETA OESTRADIOL 66.9 pmol/L 41.00 - 159.00
SEX HORMONE BINDING GLOB *60.6 nmol/L 16.00 - 55.00
PROLACTIN 301 mIU/L 86.00 - 324.00
FOLLICLE STIM. HORMONE 2.13 IU/L 1.50 - 12.40
LUTEINISING HORMONE 4.69 IU/L 1.70 - 8.60
PROSTATE SPECIFIC AG(TOTAL) 1 ug/L 0.00 - 1.40
FERRITIN 118 ug/L 30.00 - 400.00
GLOBULIN 28.2 g/L 19.00 - 35.00
TOTAL PROTEIN 75.9 g/L 63.00 - 83.00
ALBUMIN 47.7 g/L 34.00 - 50.00

I started treatment and have done 2 shots - so not expecting any miracles yet.
However I finally got my detailed thyroid statistics back.

THYROID STIMULATING HORMONE 2.32 mIU/L 0.27 - 4.20
FREE THYROXINE *22.300 pmol/L 12.00 - 22.00
FREE T3 5.45 pmol/L 3.10 - 6.80
REVERSE T3 *33 ng/dL 10.00 - 24.00
REVERSE T3 RATIO *10.75 15.01 - 75.00
THYROGLOBULIN ANTIBODY <10 IU/mL 0.00 - 115.00
THYROID PEROXIDASE ANTIBODIES 12.4 IU/mL 0.00 - 34.00

I am 29 years old, fit and healthy (as can be). I have all of the typical low T symptoms.

I am reading about thyroid but cannot find anything that says High TSH, High FT4 and FT3, high RT3 as well. I do not have many of the symptoms of both hypo and hyper thyroidism (only those shared with low T)

My initial thyroid check (basic) with medichecks was in range so It didnt seem a concern. Any opinions? I read alot about TRT not working if the thyroid is not in check.
 
Last edited:
Thinking that youre asymptomatic is good. Thats not shown in the raw numbers.

Thyroxine is T4, looks good, as does T3, very good, problem here is reverse T3...means that the T3 is not getting in to your cells to be used; pooling.
Could mean a low iron condition, reverse T3 should be under 15, I believe.
 
I also have high Reverse T3 with all other thyroid hormone spot on, insulin resistance is thought to be the cause of it. I'm not saying that it's the same for you, but your body is slamming on the brake metabolically and there is a reason.
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

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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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