Just to get you ready for this … this is the worst thyroid labs I have ever seen here. Never seen lab ranges with this backward ‘high risk’ notation.
TSH should be closer to 1.0
T3, T4, fT3, fT4 should be mid-range or a bit higher
rT3 should be mid-range
tT3=77 - really?
rT3=14 ?
You have hypothyroidism that seems to be heavily driven by rT3 and rT3 is driven by adrenal fatigue.
Thyroid lab ranges are quite useless, go with what I suggest.
We need to see the net effect of those levels and you are going to do that via the last paragraph in this post.
fT3 is good at mid-range and should support good body temperatures, but temps are expected low with fT3=3.3 and rT3 high.
SHBG is very low and we need to look at fasting cholesterol and A1C to see if that is been driven by insulin insensitivity or diabetes.
Please post all of your labs.
With low T, we need to know LH/FSH to identify cause if possible. Also test prolactin which can key into all of your symptoms. Has your peripheral vision decreased? Should be around 180 degrees wide.
Do you feel cold easier now?
Are outer eyebrows sparse?
#Please double check your labs above for typo errors.
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.