All of that labwork was done fasting?
Thyroid: TSH and fT4 are OK, fT3 is oddly high.
Please evaluate overall thyroid function via last paragraph below.
Do you feel cold easily?
Are outer eyebrows sparse?
Generalized hair thinning can be a thyroid issue.
Dry skin?
Stress reactions: Please discuss how stress has shaped and punctuated your life story.
Gyno: I have seen E2 labs messed up before. So sometimes you have to suspect the lab results when they do not make any sense, but which one to suspect?
Tamoxifen/Nolvadex: Often prescribed doses are too high. 20mg every other day [EOD] can be enough. This will also increase LH/FSH and that can increase T, FT and E2 as FT–>E2. Yes, it will increase E2 and can be in a big way if dose is too high for you. Only way to reduce FT–>E2 aromatization is with an aromatase inhibitor [AI]. You should do these labs later to see what nolvadex is doing: TT, FT, E2, LH, FSH.
ATCH: Were you freaking out a bit for the blood draw?
RBC?
Hematocrit?
Ferritin is very low and can affect thyroid fT4–>fT3 conversion.
Is your diet strange?
Men are good at hording iron which makes this odd.
Any digestive issues or food sensitivities?
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.