What should I tell my primary care doctor about testing my thyroid? He only did TSH/reflex free T4.
- Thread starter Opsimath
- Start date
Systemlord
Member
Tell him that's only half the story, if fT3 is low or rT3 is blocking fT3 you won't know about it. Doctors do this to satisfy insurance companies and save them money.
Will they be able to test those in a blood test?
Vince Carter
Banned
TSH is a really rather poor Thyroid test and is only one part of things. ASk for blood test on all of these:
TSH
Free T4
Free T3
Antibodies
Reverse T3
TSH
Free T4
Free T3
Antibodies
Reverse T3
Systemlord
Member
Of course, sometimes doctors like to run minimal tests and let's say TSH ends up being high, he will then run more tests to determine why, it's all about saving money and could completely miss a potential problem.
I think he just did the first two. Are there any more?
Vince Carter
Banned
Those are the only 5 you need but you need all of them at the same time.
How should I ask my doctor to retest with these? He is prideful and usually shoots down whatever I try to educate him on. I don't think he purposefully chose not to test the others, he's just ignorant.
Systemlord
Member
In that case it's time to tell him bye, he's not the only doctor on earth.
He's not ignorant he only doing what he was trained to do. Mainstream medicine from an administrative standpoint is very careful in what tests are ordered. Their is no wasted testing. It's become so bad that they don't really run enough tests to fully determine what's wrong. These MD's are trained to do just the TSH and only if that is out of range then they start a protocol with just synthroid to bring that TSH number down. Specialists like our sponsor Defy know that doesn't work. In fact most specialists know that a TSH of 2 or over usually indicates an underlying problem such as low T3. But this is something mainstream medicine ignores.
Would I still be able to undergo the full test with this doctor? I told him about HCG briefly (because I want children) and he acted like I said HGH then continued on about how men in California and Las Vegas take steroids.
Vince Carter
Banned
You need to find a new Dr that's just an honest assessment, he's already showing you signs for not having your best interests here. I've been around that with a Dr that I've said I'm paying for the tests why not run what i'm asking for and he just got this how dare you look on his face, but you could try telling him you're paying the bill and see what he says. But ratbag is spot on.
Systemlord
Member
Your doctor is just behind the times, sure steroid users will use HCG when they cycle off. He doesn't know the difference between steroids and TRT, the concepts are similar and that you inject testosterone, the effect of fertility is the same. It doesn't matter if you're injecting 100mg or 500mg, you will still need HCG to remain fertile.
If he knew everything and was a knowledgeable doctor you wouldn't have to suggest anything to him, he wouldn't leave any doubt in your mind that he doesn't know what he's doing. The doubt was already there and that's why you're here.
With that information it's clear that he doesn't have a clew about TRT. Every real TRT expert knows that a T level of 400-500 doesn't work period. The faster you find a real TRT expert the better off you will be. You won't get well on that dosage and your Thyroid obviously needs help. It's good you are learning this now and not after 2 years wondering why it doesn't work. This is why 85% of men put on trt give up on it and stop taking it. Because the MD does not know how to manage TRT and your other hormones effectively. Our Site sponsor Defy is very good and they can work with you over the phone. They will put you on HCG as well.
Systemlord
Member
We see a lot of guys having symptoms in the 400 ranges, unless your doctor knows where you landed naturally he is making a wild guess. He should go based off how you feel rather than paying attention to a bunch of stupid numbers on a piece of paper! Your doctor has an idea in his head where a guy's testosterone levels should be, the problem with this kind of thinking is everyone is different, some guys might do fine in the 500 range while others will do better in the 600-800 range. A doctor that doesn't listen to your concerns and shrugs off your suggestions as preposterous can't learn anything because his mind is already made up and therefore unable to learn knew things, close minded.
These are the worst type of doctors!
He wants my testosterone to be in the midrange because of the supposed health defects that occur in the higher numbers.
Systemlord
Member
In order for Defy to be able to do their job they must axe the insurance companies, insurance companies don't like it when doctors run all the necessary tests do to the cost factor, this is why the patient suffers because the doctors hands are tied up. That's why your doctor failed to run the necessary tests and why you only have half the answer you were looking for. I'm having side effects in the middle 800 range but not in the 700 range, so your doctors claim is invalid. Again everyone is different, some guys will have symptoms beyond the middle ranges, most will not unless you go above your natural limit. Most here do perfectly fine in the 800-1000 range with no side effects whatsoever.
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