If E2 is elevated and/or SHBG is elevated, TT is inflated and FT could then be easily below range.
Labs: - fill in the blanks
TT
FT
CBC
hematocrit
TSH
fT4
fT3 [ not T3, T4]
AM cortisol - at 8 AM please or 1hour after waking up
fasting glucose
Training with low T and/or low thyroid function is highly stressful as it is not natural energy, but adrenalin overcoming fatigue.
Do not do thyroid indexes and uptake work. Those are obsolete now that fT3 and fT4 labs are available. Only the free hormones are active. T4 is a reservoir to make T3 and fT3 is the active hormone.
TSH should be closer to 1.0
T3, T4, fT3, fT4 should be midrange or a bit higher.
rT3 is too high. You lab company has a high upper range that might be an problem. rT3 interferes with fT3 and slows down your metabolism.
Stress is hard on the adrenals and Aderall could have made this worse. You already have a major stress profile. The end result can be adrenal fatigue.
See the thyroid basics sticky and note references to stress, adrenal fatigue and Wilson’s Book.
The bottom line for the balance of all of these thyroid hormones and other things is body temperature which provides a good measure of thyroid function. See last paragraph in this post.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- things that damage your hormones
- protocol for injections
- finding a TRT doc
- Thyroid Basics
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.