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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
What should I ask the doctor in my visit tomorrow? Resuts attached
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<blockquote data-quote="Systemlord" data-source="post: 159479" data-attributes="member: 15832"><p>Both of those TSH values are abnormal, anying 2.5 or higher is indicating a thyroid problem, together with your low T3 uptake and your situation is worse. Depending on which day you run the testing, your TSH could be 2.5 today and 3.5 tomorrow, this is unacceptable. Your TSH fluctuates every day, so you see it higher 3 years ago when in fact it's probably always been between 2.5-3.5 depending on when you are testing and you are just catching where TSH lands on that particular day and it could be higher when not testing.</p><p></p><p>TSH is as very poor marker for thyroid status, it colorates poorly with symptoms, if one wants to see how the thyroid is performing, one must test actual thyroid hormones and it doesn't seem like you doctor is testing free thyroid hormones. fT3 is the only active thyroid hormone which increase metabolism and provides energy to every function within your body, rT3 can deactivate some of your fT3 if they are out of balance.</p><p></p><p>The cliff note here is you cannot rely on TSH alone when checking thyroid status, this is the old school way of doing things and any doctor not researching and staying up to date will become irrelevant and unable to provide good healthcare to their patients. Medicine is constantly evolving and some doctors fall behind in knowledge and the patients coming in seeking treatment are forever lost.</p><p></p><p>It sounds like you've had these problems most of your adult life and your doctors are treating the numbers and not paying any attention to the symptoms, this is unacceptable. The reference ranges was never meant to be the ultimate deciding factor in getting treatment, it is a guide or a suggestion and together with a clinical picture of the patient, treatment is initiated if the symptoms match the low hormone value.</p><p></p><p>TRT will not work when there are thyroid problems and to date have never seen anyone respond well to TRT scoring a TSH of 3.5, in fact TSH will likely increase once TRT is initiated because as TRT increases metabolic rates, it will place a greater demand on your thyroid increasing TSH even higher.</p><p></p><p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4480274/" target="_blank">Reference ranges for TSH and thyroid hormones</a></p><p></p><p></p><p><a href="https://www.ncbi.nlm.nih.gov/pubmed/16148345" target="_blank">The evidence for a narrower thyrotropin reference range</a></p></blockquote><p></p>
[QUOTE="Systemlord, post: 159479, member: 15832"] Both of those TSH values are abnormal, anying 2.5 or higher is indicating a thyroid problem, together with your low T3 uptake and your situation is worse. Depending on which day you run the testing, your TSH could be 2.5 today and 3.5 tomorrow, this is unacceptable. Your TSH fluctuates every day, so you see it higher 3 years ago when in fact it's probably always been between 2.5-3.5 depending on when you are testing and you are just catching where TSH lands on that particular day and it could be higher when not testing. TSH is as very poor marker for thyroid status, it colorates poorly with symptoms, if one wants to see how the thyroid is performing, one must test actual thyroid hormones and it doesn't seem like you doctor is testing free thyroid hormones. fT3 is the only active thyroid hormone which increase metabolism and provides energy to every function within your body, rT3 can deactivate some of your fT3 if they are out of balance. The cliff note here is you cannot rely on TSH alone when checking thyroid status, this is the old school way of doing things and any doctor not researching and staying up to date will become irrelevant and unable to provide good healthcare to their patients. Medicine is constantly evolving and some doctors fall behind in knowledge and the patients coming in seeking treatment are forever lost. It sounds like you've had these problems most of your adult life and your doctors are treating the numbers and not paying any attention to the symptoms, this is unacceptable. The reference ranges was never meant to be the ultimate deciding factor in getting treatment, it is a guide or a suggestion and together with a clinical picture of the patient, treatment is initiated if the symptoms match the low hormone value. TRT will not work when there are thyroid problems and to date have never seen anyone respond well to TRT scoring a TSH of 3.5, in fact TSH will likely increase once TRT is initiated because as TRT increases metabolic rates, it will place a greater demand on your thyroid increasing TSH even higher. [URL='https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4480274/']Reference ranges for TSH and thyroid hormones[/URL] [URL='https://www.ncbi.nlm.nih.gov/pubmed/16148345']The evidence for a narrower thyrotropin reference range[/URL] [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Blood Test Discussion
What should I ask the doctor in my visit tomorrow? Resuts attached
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