Bloodwork Results with Some Concerns

rT3 climbs with adrenal stress, aka adrenal fatigue. rT3 is a modification of T3. It fits into T3 receptors and blocks them, does not act as T3 but by blocking the receptors, prevents what T3 you have from working. So one can have ‘optimal’ [mid range] fT3 and have hypo symptoms. If this occurs, body temperatures can?will be low.

While other labs may say that there is nothing wrong with your thyroid, your body temperature is really a better composite assessment. This is why I state that low body temp is a measure of a functional state of hypothyroidism. Docs will consider that everything is normal. What we are dealing with is mostly “subclinical” hypothyroidism. Subclinical is a fancy terms for your doctor will not do anything.

So one can say that adrenal fatigue can be a state of functional hypothyroidism.

But on the main concerns, many cases of subclinical hypothyroidism are not from elevated rT3, but are iodine deficiencies [ID]. Because ID can be so easily fixed, it makes sense to be vigilant for that and avoid treating ID with thyroid meds. I have never seen a report of a doctor asking about one’s iodine intake! The opposite should be true.

[quote]KSman wrote:
rT3 climbs with adrenal stress, aka adrenal fatigue. rT3 is a modification of T3. It fits into T3 receptors and blocks them, does not act as T3 but by blocking the receptors, prevents what T3 you have from working. So one can have ‘optimal’ [mid range] fT3 and have hypo symptoms. If this occurs, body temperatures can?will be low.

While other labs may say that there is nothing wrong with your thyroid, your body temperature is really a better composite assessment. This is why I state that low body temp is a measure of a functional state of hypothyroidism. Docs will consider that everything is normal. What we are dealing with is mostly “subclinical” hypothyroidism. Subclinical is a fancy terms for your doctor will not do anything.

So one can say that adrenal fatigue can be a state of functional hypothyroidism.

But on the main concerns, many cases of subclinical hypothyroidism are not from elevated rT3, but are iodine deficiencies [ID]. Because ID can be so easily fixed, it makes sense to be vigilant for that and avoid treating ID with thyroid meds. I have never seen a report of a doctor asking about one’s iodine intake! The opposite should be true.[/quote]

Thanks for the explanation ksman, first things first, I gotta go buy a thermometer asap, then wait for bloodwork. So from the above post, are you saying that I most likely have “subclinical hypothyroidism” and my doctor probably won’t do anything? Would you recommend I start supplementing iodine now or wait for bloodwork to be taken? Thanks again

Not saying anything until we see temperatures. Your labs are odd, temperatures will help us understand. My comments above were in general, not specific to you.

ok so just took my temperature twice, first one at 9am which was 96.4 and then went back to sleep for an hour and took it again at 10am and it was 96.8. Seems like a really low temp and i wonder if my thermometer is accurate but i’ll be taking my temp throughout the day to see

You can get someone else to use that thermometer and if they get 98.6 it is safe to assume that it is accurate.

update finally
RDW is 15.1 range 11.5 14.5

cortisol am 22.6. No ranges?

t3 free 4.11
t4 free 1.2
thyr perox an 45.0 range 0 60 anything under 60 is considered negative
tsh 3rd gen 3.573 range .4 5.5
reverse t3 306 pg/no range 90 350

estradiol 37.2pg/no
lh 0.7 low
tsh 0.3 low
prolactin 12.7

total testosterone 1503. High. Dropping from 200mg a week to 150
free testosterone 386.5 high

any input is appreciated.

bump. Any help?

not sure if these affects are from idolized salt or not, but it seems like after every time I add it to food and eat, I get this kind of cold like sweat and just feel weird. Does anyone know anything about this or maybe its all in my head. Any input on the recent labs compared to the first ones would be great.

can anyone give me any info on supplementing with iodine? Whether I should or not

I don’t think iodine gives the symptoms you describe. FT3 and FT4 look ok, but TSH isn’t going down.

What are your temps?

You should be able to insist on TPO antibodies, thyroglobulin, and, thyroid ultrasound. Then get references for doctors who use porcine thyroid from compounding pharmacies.

E2 is high which is not surprising with your T levels. Once you lower T it should start going down. Try to keep it around 22.

first off just want to say thanks for the reply. For that blood test I was not using adex but now I am currently taking .1 mg of liquid adex eod. Hopefully the stuff I have is good. Do you think this dose is too low to start with? I know everyone’s different but what is the common protocal for trt users?

Regarding one of prior posts tuna, how does my rt3 look? I remember you saying if it was high it would render my free t3 useless because it is overloading the receptors and not letting free t3 bind. Please correct me if I’m wrong, I know its in range but as of lately I’m having trouble trusting these so called ranges.

Do you have any input on the am cortisol? Not sure where it should be and if my levels are sufficient.

oh yeah and my doc thought all the thyroid labs looked fine. Typical I guess.

was the thyroid perx antibody test not good enough? Should I order the ones you specified instead?

looks like my tsh has gone down by almost a point. Is that significant or no?

I’m not on TRT so I don’t know much of dosing.

That wasn’t me who mentioned RT3, I don’t know much about it.

Cortisol looks OK

Yes it is good your TSH has improved. Your free T3 is at the top of the range and that should be pushing TSH closer to 1.0

Its good that you got TPO AB, but you still need to check thyroglobulin AB, thyroglobulin (cancer marker) and ultrasound which would reveal goiter and any cysts or nodules present which could be secreting hormones.

After that a good specialist in thyroid can help manage sub clinical hypothyroidism with porcine thyroid.

Ok cool thanks ill be getting that test done along with a few others on the 28th. Ill ask for an ultra sound on my follow up.

Can anyone recommend some good thyroid drs. In the Tampa Florida area or Seattle Washington area?

So quick question about adex, last night I upped my dose to .2mg eod and the next morning woke up with some morning wood which feels like it’s been a while since that’s happened because of my e2 being high. Can adex have that quick of an effect or is it just coincidence?

Second question is about my hemotocrit level. It’s at 50.8 and my bp is pretty high and i’d like to bring it down. Is 51.8 too high and would it be a good idea to donate blood soon? Do you think me lowering my test dose will decrease my bp enough to be in normal range?

I also have access to synthroid incase my doctor won’t do anything about my tsh levels assuming they don’t come down anymore. That would be a last resort though if I couldn’t find a decent doctor that understands thyroid ranges a little better. Are there better natural alternatives to lowering tsh?

Any help is appreciated. Thanks

any advice on donating blood? If I just injected today and donate blood tomorrow would that have any affect on my test level?

yes, dump some blood soon, if too high they will reject. HTC also suggests less T.\

Adex: There can be some fast action, but when first starting, takes 7-10 days to get effects. Some brain physical changes need to happen, takes time. When you bump dose, serum levels will increase over a week. So you can get ahead of your self. If you crash E2 you will not feel good after you blast through a sweet spot.

TSH will only go down when the hypothalamus sees favorable changes in the blood. Note that rT3 also is playing in that game. Your rT3 is too high, suggesting that you take some adrenal fatigue measures. AM cortisol is near top of range. So you do not need cortef as part of what you need to do.

ks man, what would you suggest as some adreanal fatigue measures? I feel 10 times better after donating blood. I was feeling pretty sluggish and worn out. Symptoms pretty much disappeared after donating. Still going steady with the .2 adex eod and feeling fine so far… I just hope the stuff I have is legit or atleast dosed right so when I get some from somewhere else I won’t over dose it.

thanks for the reply ks man. I’ve been waiting to hear from you because I know you know your stuff. Any suggestions on lowering rt3 is appreciated. I’ll do my research as well. Thanks

ks man, what would you suggest as some adreanal fatigue measures? I feel 10 times better after donating blood. I was feeling pretty sluggish and worn out. Symptoms pretty much disappeared after donating. Still going steady with the .2 adex eod and feeling fine so far… I just hope the stuff I have is legit or atleast dosed right so when I get some from somewhere else I won’t over dose it.

thanks for the reply ks man. I’ve been waiting to hear from you because I know you know your stuff. Any suggestions on lowering rt3 is appreciated. I’ll do my research as well. Thanks