Thyroid medicine raises SHBG, therefore raises the Total T and not necessarily Free T. So if SHBG increases and the TRT dosing stays the same, if anything you’re worse off than before.
Let’s cut to the chase, if you had an amazing doctor, you would have no need to visit these forums.
Do you have the study link or name? I wouldn’t mind reading it and possibly mentioning it at my next appointment.
He’s actually a pretty good doctor and was even open to a discussion of TRT when my TT came back in the 300s, which is still higher than the lower cut off. I’m not sure I can blame him too much for not being concerned at mid-400s, because we’re now getting into the discussion of current medical practice/recommendations and newer research/optimization.
What I’m hoping to do is convince him to at least do some further testing. Was the 608 an anomaly? The 340? The 461? Also, where are my free T levels?
I also appreciate the info on thyroid meds and SHBG. When I asked him if their could be a correlation, he mentioned there might be a link due to the pituitary, but didn’t get into more detail. I was a little disappointed with this answer, so will have to ask about SHBG.
Thanks!
Link here, references at the bottom of link.
This is quite shocking, as any endo should know the connection between low SHBG and low thyroid function. If you turn this around the other way around, thyroid treatment leads to a rise in SHBG.
This should be common knowledge among endocrinologists or anyone qualified enough to treat hypothyroidism.
Ah, this is the thing, I’m just dealing with my GP, not an endocrinologist. I think it takes more than where I’m at to get referred out here and GPs handle, perhaps, more than they should.
I definitely wouldn’t go on TRT under the sole care of a GP, but I’ve been hoping he’s open to at least some more testing. Probably explains why he’s only been ordering TT labs.
My personal experience watching threads here are that some dudes like to think they know everything and that your GP or PCP is a tard.
.
That is not always the case.
I stopped reading frankly when I saw @systemlord commenting, because she tends to be opinionated.
So, good luck bro.
How did you get sleep apnea diagnosed? I did a home study, my problem was i barely slept. I told them that and they didn’t seem to care.
I heard the best thing to do is to actually sleep in a facility while being monitored. It’s come to a point I can’t sleep on my back anymore because I wake up due to my snoring/choking.
I did a sleep study at a clinic. Four hours of monitoring, then CPAP that they titrated. I only got four hours of sleep on the CPAP but felt like superman.
I got a CPAP, but could not use it after a while because my mouth would be open, so I got a chin piece, then taped, but got aerophagia (swallowing air) and woke up bloated and nauseous.
I got a mouthpiece for $1500 but my dog ate it, so I lost weight, figured fuck it. I am about 25 pounds lighter now and use nothing.
But, I am also retired/unemployed, so my sleep really doesn’t matter any more.
That is correct. My cpap has been life changing.
It got a giggle out of me not going to lie.
It was not.
I am sneaky like that.
Yeah, I think this is a great thing to remember.
This too shall pass!
I hear you. I poke around from time to time and appreciate the thoughts and viewpoints, but I do take everything I read here with a huge grain of salt. It’s never a good idea to blindly jump on board with what someone’s saying, especially someone you don’t know the least bit about. I’ve also for sure read some things that contradict what I’ve heard on podcasts from people in the field that I respect (I err to the side of the expert in those cases).
I do appreciate when people send me their thoughts, though. It’s good to hear different viewpoints and at worst might prompt some questions to ask a medical professional who you’re consulting.
I do appreciate you jumping in here!
I think weight is a big stone many people forget to turn over. A year ago, I had the same issue sleeping on my back. A sleep study showed really minor OSA. A CPAP was recommended by the sleep specialist, but because it was borderline, I decided to see what I could do with lifestyle first. I only had to lose 10 lbs, but my sleep was night and day after that. There’s a huge difference when I’m 214+ and can’t sleep on my back or left side and under 210, where I can sleep in any position. Such a small change can make a huge difference.
I think this should be posted as a sticky at the start of each thread, then maybe a few questions from a basic doctors exam that they have to answer before posting so we can see how they would square up…
I’m the opposite, I read thinking that many of his posts will be good, many would be above my pay grade and some will be wrong, get picked up on, sometimes hilariously.
That I find strange you’d use as an insult. First I don’t think being a woman, trans or just a feminine male is wrong so cant really see the insult in it, and I think if someone’s wrong I would (hopefully) focus on what they were doing, not them personally (especially as I don’t really know anything about him).
I do find it strange that when pulled up on something he will often ignore it and carry on posting in other threads rather that come back and state him argument or just say “my bad I’m wrong I’ve learned something”.
And sorry to Systemlord for bringing up this thread again
TL/DR
Doctors are highly trained individuals doing a difficult job while being human, don’t expect them to know everything, or even to care (again just humans). And if you follow any advice you get on the internet without rigorously checking it then you have a fool for a physician.
Oh lord you are one of those.
@The_Myth doesn’t like women, to each his own.
I’m not bothered at all.