Bloodwork on TRT and Synthroid

Pharma TRT
1

Hi guys, I recently had bloodwork done, mostly okay but wanted to see if you have any opinions.

dosage:

  1. 200mg/wk test
  2. 0.112 mg synthroid

bloodwork:

  1. Testosterone - 38.5 nmol/L (8.4-28.8)
  2. E2 (non-sensitive I think) - 156 pmol/L (<162)
  3. TSH - 3.67 mUI/L (0.32-4.00) - this is a little higher than normal for me
  4. Free T4 - 15 pmol/L (9-19)
  5. Free T3 - 4.4 pmol/L (2.6-5.8)
  6. Reverse T3 - 23 ng/dL (8-25)

I think reverse T3 is high, but free T3 is okay so I’m not sure if it requires any modifications. should I try some other form of thyroid medication? Thanks!

2

If you throw on the reference ranges it would be easier for us to respond.

3

ah, sure thing!

4

Looks pretty good. You don’t have a free T value, and typically you want the get the sensitive estradiol as it is more accurate. Next time get SHBG and E2 sensitive.

How are you feeling on your doses?

I would bump up the thyroid dose a little. With thyroid disease myself, TSH seems to be a pretty reliable indicator of my optimal thyroid dose. It would seem like your body is asking for more thyroid hormone even though your FT3 and FT4 look great.

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5

It being your free t3 is great I would retake tsh, free t3 test before change thyroid meds. Tsh can vary during the day.

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