Today I received the usual thyroid tests and I was surprised, my endo ordered these tests too, DHEA-s and Testosterone. TSH is 0,1050(0,27-4,2), ft4 14,5(12-22), ft3 4,5(3,1-6,7) and DHEA-s 339(34-568) ; Testosterone 3,57(3,30-8,05). I take 125 levo and T3 (5+5+2,5).
I'm worried about testosterone values, it's OK like this ?. I'm a 50 yrs old male and I have almost all the symptoms of low libido but I attributed them to hypothyroidism. In October I have an appointment with my endo.
ft4 14,5(12-22),
ft3 4,5(3,1-6,7)
Recommended on here that all thyroid blood tests should ideally be done as early as possible in morning and before eating or drinking anything other than water .
Last dose of Levothyroxine 24 hours prior to blood test. (taking delayed dose immediately after blood draw).
If/when also on T3, make sure to take last third or quarter of daily dose 8-12 hours prior to test, even if this means adjusting time or splitting of dose day before test
Is this how you do your tests?
Ft4 is only 25% through range
Ft3 only 38% through range
Helpful calculator for working out percentage through range
Many people would find those levels too low
Low testosterone can be result of being hypothyroid
thyroidpharmacist.com/artic...
What’s your vitamin D, folate, B12 and ferritin levels
Yes so I did, Levothyroxine 24 hours prior to blood test and the last T3 at 11pm. I don't know why my ft4 dropped so much, I had it at 17 at the same dose.
I think the drop in FT4 it's the effect of the T3, I've got the same response after introducing liothyronine in the mix, with the FT4 dropping at approx 20% over minimum and staying around that level
Yes i know that but i can't find any relationship between thyroid hormones and my low testosterone. I have almost all symptoms for low testosterone and I thought It was from hypothyroidism. I've never done this analysis before, it's very confusing. My testosterone is that of an 80-year-old man.
Well, I see two, non exclusive ways to approach it - start doing the behavioral and lifestyle approach (food, sleep, pumping some iron) and try discussing a possible, gradual, delicate HRT approach with your endo.
On the other hand, I wonder if I should increase the T3 dose in the morning(5 to 10mcg), I feel like it's not enough. I ordered some T3 slow-release from Receptura, when I will receive it I will increase the dose bcs with Thybon it's not that simple.
How is symptom relief from this dose, otherwise than the low T issue?
How about your sleep (quality and quantity) and meal plan (sources, appetite, macro ratios) if I may ask?
And one thing I'm a little puzzled - the XR version of liothyronine that you have ordered shall not be set off by absorbtion interference ?
Hm, good questions;
-"symptom relief from this dose?", the morning dose (5mcg T3) as if it were too little, around 11,30 o'clock the T3 effect disappears (my vision becomes blurred/spaced out, fogy brain, I feel slow like a melting ice cream). Arround 2pm I take another one and at 6 pm I feel like I need another dose. I tried to increase the morning dose of T3 at 10mcg, but my pulse increases to 100, my head hurts, sweating, anxiety, etc. I take the second dose of T3 at noon but I feel like rolle coaster.
-my sleep is average (sometimes I fall asleep quickly other times I sit and look at the stars and must take some melatonin or pills), I mention that I have sleep apnea and I use an Cpap.
-my meal plan? I try to eat as clean as possible, healthy fats, low carb, without gluten and sweets at regular times.
-the XR version of liothyronine, I have to try to figure out if it's good for me. The compounded pharmacy gave me assurances that it would be released in about 4-6 hours(about 1 mcg per hour). A healthy thyroid releases about 0.46 T3 per hour. From the experience of other patients should be taken 25-35% more SR-T3 than normal T3. I will see, maybe I'll combine them( let's say 5 T3 Thybon +5 SRT3 in the morning). The idea is that I need it to last longer, at least 8 hours, not 4 hours.
Cesared, I'm curious what is your dose now?
I am just thinking going a little bit up with the Novothyral 100, from 150 T4 & 30 T3 to...175 T4 35 T3
Waw, it's a pretty high dose. I'm thinking of increasing the dose too, my values are low, especially ft3.
My FT3 is around 75% in the range, the FT4 is quite similar to your level.
I have done some heart test, effort EKG, Holter, etc and everything looks good, no simptoms either, except some ocassional flutter at night, rarely.
I have tried 200/40 and I can take it.
Hm, it means you're fine with the adrenals. I have a vision problem but I don't know where it comes from, from the eyes (due T.E.D, I had Graves, or from the adrenal glands). When I increase the dose of t3 my eyesight becomes spaced out, like in a tunnel vision or globe and then blurred, it is very annoying. I'm curious if I'll see the same with t3.SR
anxietycentre.com/anxiety-s...
Causes to the tunnel vision might very well be the blood pressure increase or even the brain response to excess hormone (supra physiological levels?)
I'm curious too about SR T3 ....but the question stands... absorbtion is not affected by the meals, coffee, yes, whatever?
About absorbtion, I asked the same question to Receptura and they said, no. t3 is not affected like t4, the only thing is that it is released in time. A t3 molecule is a t3 molecule whether is mixed with liquid or food, nothing is lost. I also have doubts but I will see when I receive them.
-they answered me in the email like that;
As filler we use hydroxypropylmethylcellulose. This substance quills in the stomach,
so T3 will be released slowly from this gel matrix about 4-6 hours.
I hope I'm not allergic to this substance or my stomach doesn't like it.
It's interesting, please let me know how it works.
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