Yes, I believe you are correct.
Thank you
Quick update. Feeling pretty good so far with 20mg subq daily but has only been a week. One thing I have been noticing though is 15-20 min post injection get an almost high feeling. I still have the feeling currently and injection was 2 hours ago. At first was kind of enjoying it but would like to calm it down now some. Is it possible to feel it that quick after injection?
I already feel like my muscles are hardening up better than before with cream. I completely eliminated AI 2+ weeks ago and think that may have something to do with that though. Overall feeling pretty positive, I was on cream also but feeling even more so now.
Eat something carby before the shot, like a bowl of cereal or oatmeal or something. That rush will go away after a while but some food will calm it down in the first week or so.
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Got labs for my everyday subq injection protocol with 20mg a day.
616 Total (264-916)
33.6 Estradiol (7.6-42.6)
Thyroid
5.010 TSH (0.450-4.500)
3.5 Free T3 (2.0-4.4)
0.85Free T4 (0.82-1.77)
Doc wants me up to 30mg daily. I thought about going to 24-26mg instead or even 22 as I believe that is going to be a large jump but figured as long as I feel good I will let it ride until next labs. Physically energy wise I have been feeling pretty good, but lately I have been getting sleepy and fall asleep pretty easily if I sit down to read or watch TV. Could very well be me only getting 7 hours of sleep a night, sometimes more, sometimes less, but usually around 7. I also been having trouble losing weight and gets me pissed off and give up on dieting. Because of that I wanted to run thyroid again. Doc did not seem to concerned with the TSH because my free T3 shows a good spot but I questioned him on it and the low free t4 and decided to let me try levothyroxine. I will try to improve my sleep hygiene and see how I fare with the levothyroxine. If I do not show improvement I will investigate deeper into the thyroid.
That’s hypothyroidism, no wonder TRT isn’t working as well as it could. Looks like your doctor missed testing Reverse T3 which can block Free T3 from soaking into your cells which would then see an increase in TSH.
This is thyroid related, when you get up in the morning your thyroid increases output do to demand, you sit down and this demand decreases and shows your resting metabolic rate is very low and this is why you fall asleep.
You mention you have trouble losing weight, this is thyroid related as well because thyroid increases metabolism which allows you to lose weight.
If Reverse T3 is high, levothyroxine is the wrong type of treatment and will increase Reverse T3 and cause more problems.
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The key here is how do your clothes fit and have you been doing tape measures at the belly button? Seeing the scale go up can be traumatic for us guys trying to lose fat but if you can see that tape stay the same or go down you know its LBM.
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No I have not been doing measurements. I actually am pretty positive I gained LBM as I don’t appear to have gained more of the soft stuff from when I started, just have gotten bigger. The only places shirts do not fit as well anymore is chest, shoulders and arms lol. People are also commenting more on how my muscles size appear and get shit all the time about it from my manager. I know a lot of the negativity is just in my head knowing where I was and could be so yeah the weight still bothered me even knowing it was good weight. I’m just frustrated with the belly and chest fat not going down and my self-sabotage because of the frustration.
The first pic is right at beginning of TRT (235lbs) the second is 4 months in (250-255).
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Yeah dude id say most if not all of that 15 was lean body mass. You filled in.
Thanks man.
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Stop blocking estrogen. Do daily and forget about estrogen . You have been misled. Your issue is that you are blocking estrogen which produces half or more of the beneficial effects were looking for in Trt.
Look up the lifting dermatologist and join our Facebook group. You will get answers.
Just don’t listen to this damn bro science if snot evidence based medicine.
I’m not blocking estrogen thanks though. I am also injecting daily.
Your responding to a post from 3 months ago.
Remember me? I had the same issue. Trt did nothing for four months until I started thyroid and within 1 hour I felt like a 25 yr old again.
Also estrogen will help you burn fat along with thyroid 
New labs came in after running 30mg daily sub q and 25mg levothyroxine.
Total test 1367 (264-917)
e2 44.3 (7.6-42.6)
TSH 4.160(0.450-4.500)
Free T3 3.5(2.0-4.4)
Free T4 1.04(0.82-1.77)
T4 came up from very bottom of range, T3 didn’t move and TSH dropped back below 5 where it was at. I know now I need to check rt3 as the levothyroxine did not seem to affect much especially free T3. I thought I was feeling a little different then before the thyroxine but that seems to have diminished but may just be because I am not happy with the labs. Doctor on the other hand is, so feel like I am stuck between a rock and a hard place. I feel a shit ton better than pre TRT but really think I can and should be feeling better than I do with 1367 TT.
The levothyroxine didn’t move your fT3 because it probably went to rT3 instead. No way can your thyroid hormones be optimal with TSH at 4.1.
Thats exactly what I was thinking. Dont know if my doc is going to follow that line though.
Go to stopthethyroidmadness website and be armed with info so he will treat you.
Body isnt converting t4 to t3. you want to take armour thyroid not this levo stuff. You will feel much better when thyroids optimized. switch docs you dont need to waste your time with this guy. shop around and speak to the nurses, read websites, and look at reviews.
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Been doing a little digging on rT3 and there does seem to be some things that point to insulin resistance could cause raised rT3. Unless I misunderstood some of the data I read. I was also reading into metformin to see if there is any data that shows it can lower rT3 since that is used to treat insulin resistance. The only thing I could find is that metformin does seem to lower TSH with patients treated for hypothyroidism but what else seemed to be affected wasn’t clear. They had no explanation why it did and made it seem as they were only looking at TSH and that was all.
My last blood glucose test did have me at the top or the range last year so possibly becoming or am insulin resistant. It was 100 which is right at the bottom of the range for pre-diabetes. I want to be able to treat the high rT3 if that is my issue, and resolve it if possible, so the whole point of this rambling post is do you guys think that metformin may help with my thyroid?
There’s a few folks on metformin here. I’ll be one of them soon but @hrdlvn may have some insight on this