31 Y/O Ngiapmac's Journey to Solving Low T

@enackers Sorry for such a lengthy delay, I took a bit of a hiatus from this website since I didn’t have any bloodwork results to post until now.

You mention taking one shot of cypionate for two weeks. Pardon my ignorance, but what does not dusky mean? Also, what dosage of cypionate would you recommend I take and how often throughout those two weeks?

In regards to my thyroid, I have been taking 75mcg Synthroid + 90mcg Thyroid Armour first thing in the AM for the last little bit and my TSH on my bloodwork from a few days ago was 0.02, but Free T3/T4 also increased as well. I am going to bump in down to 75mcg Synthroid + 60mcg Thyroid Armour in the AM, since a TSH of 0.02 is a little too low. Would you still recommend that I take an additional 30-60mcg 8 hours later in the afternoon?

Finally, I am located in Southwestern Ontario, Canada. It’s been tough finding a competent doctor to say the least!

Well it’s been a few months since I last checked in here and things really haven’t gotten better in that time frame. I have been experimenting with different thyroid medication dosages to find my sweet spot, and have also found a urologist who has no problem prescribing PDE-5 medication. The only problem with this is that this is all he is willing to do; he doesn’t care to investigate the root cause. When I pushed him to, his theory was that taking preworkout supplements with nitric oxide in them got my body used to the nitric oxide and causes erection problems because of this. Sounds like a load of shit if you ask me! I’ve pretty much accepted that I will have to rely on PDE-5 inhibitors for the rest of my life. Not ideal but not the worst problem to have. Anyways, here is my most recent bloodwork from a few days ago:

Hematology

WBC - 6.3 [4.0 - 11.0] x E9/L
RBC - 4.66 [4.50 - 6.00] x E12/L
Hemoglobin - 148 [135 - 175] g/L
Hematocrit - 0.421 [0.400 - 0.500] L/L
MCV - 90 [80 - 100] fL
MCH - 31.8 [27.5 - 33.0] pg
MCHC - 352 [305 - 360] g/L
RDW - 11.8 [11.5 - 14.5] %
Platelet Count - 278 [150 - 400] x E9/L

Differential

Neutrophils - 3.6 [2.0 - 7.5] x E9/L
Lymphocytes - 1.6 [1.0 - 3.5] x E9/L
Monocytes - 0.7 [0.2 - 1.0 x E9/L
Eosinophils - 0.4 [0.0 - 0.5] x E9/L
Basophils - 0.0 [0.0 - 0.2] x E9/L
Immature Granulocytes - 0.0 [0.0 - 0.1] x E9/L
Nucleated RBC - 0 /100 WBC

Biochemical Investigation of Anemias

Vitamin B12 - 511 [138-652] pmol/L
Ferritin - 145 [22-275] ug/L

General Chemistry

Glucose Fasting - 5.0 [3.6 - 6.0] mmol/L
Hemoglobin A1C/Total Hemoglobin - 5.0 [<6.0%]
Creatinine - 95 [67-117] umol/L
Glomerular Filtration Rate (eGFR) - 90
Calcium - 2.33 [2.15-2.60] mmol/L
Albumin - 46 [35-52] g/L
Alanine Aminotransferase - 30 [<50] U/L

Muscle Enzymes

Creatine Kinase - 260 [44-275] U/L

Lipids

Hours After Meal - 12 hours
Triglyceride - 0.73 mmol/L
Cholesterol - 5.36 mmol/L
HDL Cholesterol - 1.40 mmol/L
Non HDL Cholesterol - 3.96 mmol/L
LDL Cholesterol - 3.63 mmol/L
Cholesterol/HDL Cholesterol - 3.8

Thyroid Function

Thyroid Stimulating Hormone (TSH) - LO 0.02 [0.32-4.00] mIU/L
Thyroxine Free (Free T4) - 14 [9-19] pmol/L
Triiodothyronine Free (Free T3) - 5.5 [2.6-5.8] pmol/L
Thyroglobulin Antibody - RESULTS ARE PENDING…
Thyroid Peroxidase Antibody - RESULTS ARE PENDING…

Pituitary Function

Follicle Stimulating Hormone (FSH) - 2.9 [1.0-8.0] IU/L
Luteinizing Hormone (LH) - 3.9 [1.0-7.0] IU/L

Adrenocorticotropic Hormone [ACTH]

Collection Time - 9:30 am
Prolactin - 9.2 [4.0-19.0] ug/L

Adrenal Function

Cortisol AM

Cortisol AM - 422 [135-537] nmol/L
Collection Date - 03-JAN-2020
Collection Time - 9:30 am

Reproductive and Gonadal

Estradiol - <40 [<162] pmol/L
Testosterone - 20.1 [8.4 - 28.8] nmol/L

Serum Proteins
C Reactive Protein - 1.3 [<6.0] mg/L

Bone Markers

25-Hydroxyvitamin D - 188 [75 - 250] nmol/L

Referred Tests
Adrenal Antibody - RESULTS ARE PENDING…

Apologies dusky is a typo. Taking one shot every two weeks is not typical and shows the doc has no clue what he is doing my friend.

How do you feel on thyroid. If you feel great why change it. Labs suck. Don’t reference labs to adjust dose. You go with symptom resolution and reference labs to see where you feel well.

I wouldn’t change a damn thing if my thyroid symptoms are gone.

For armour thyroid we take it 8 hours apart. The half life shows the need and all the thyroid specialists will say the same. Including in the know pharmacists.

It depends how you feel. What’s Going on with symptom ?

Who is “we”?