yeah that TSH is creeping up and wasn’t great to begin with. Great Free test jump.
Sorry guys, I’m not really with you here, and I’m 47. The calculators don’t work for me at all anyway.Nothing clears my head and resets all of the neurotransmitters like moving a weight that is almost too much. It fixes a lot of head issues fast. The trick is never actually failing, just pushing close.
Ed believes in always having one more rep in the tank. He has said that he likes to feel like he has one more on every set. And he is definitely the real deal, and a really nice guy.
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I think your numbers look great, and having a “High” cholesterol because of high HDL’s is fantastic. My TSH rides around where yours is, it hit 4 when I started TRT before dropping back, I’m not sold on the number being bad. I’ve been taking Armour as an experiment and the more I take the more tired I am, I was happier with my 2.5 TSH and no thyroid supplementation.
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One thing is for sure, thyroid medicine will definitely increase SHBG,. If my TSH was 2.35, there would be problems considering it hovers 0.6-1.01.
None of you have asked the most important question, so I will:
How do you FEEL? Do you have any symptoms? What is your protocol?
Forgive me for saying, but in the circles I am in I would consider this a testosterone deficiency.
I feel pretty good, but as mentioned in other threads, it could be way better I believe.
Before I switched to ED injections 6 weeks ago, I would randomly lose erections during sex. Since switching, I can maintain for sex unless my wife and I have had more than one session in a day, but it still requires stimulation to hold it. I still never wake up with morning wood, and I haven’t slept more than 6 hours at one time since I started TRT. I believe it could be better. Mood is stable and fairly chipper most of the time.
I’m thinking that increasing SHBG would probably be good right?
Frankly, I really don’t care about SHBG.
Your testosterone levels are low in comparison to the men who I consider to be optimized. What is your daily dose?
22mg daily.
I’m not a doctor, keep this in mind. Based on your labs and symptoms, if this my MY situation, I’d bump up to 30mg daily and assess after 6-8 weeks.
You ever check insulin? Insulin resistance Lowers shbg.
I would not worry to much about thyroid.
That’s exactly what I’m hoping to be able to try. It all depends on if Dr Saya will allow that. If I do it on my own, I’ll run out before it’s time to refill then I’ll be SOL.
I haven’t but we ran A1C on this round. It’s pretty high so maybe an insulin sensitivity /resistance test is in order? I’ve always been of the understanding though that TRT, if levels are correct, will actually help with insulin sensitivity issues. I can’t validate that though.
If Saya says no, ask him to demonstrate the harm that dose would cause. Then please share here because I have a big sense of humour and love to read funny shit 
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This will be my first consult with Saya. I usually speak with Dr Calkins, but he is out on paternity leave right now (that should tell you something about the world we live in now lol). Saya had an appt opening for first thing Monday, so I figured what the hell?
I may be wrong, but I believe he is a little more progressive minded anyway. We’ll see.
He’s tried to convince many guys that I know to take an AI so be aware of that.
Calkins tried that when I first started. I shut him down completely and told him I don’t even want AI’s in my house lol.
And really not so much for the purposes of whether or not to control estrogen. It’s really more of a fear of the horror stories I’ve read about guys screwing themselves up with AI’s.
One more question…
You guys are saying not to worry about thyroid. With my TSH that high, that’s not a cause for further investigation? I thought it was pretty much agreed that thyroid health is very important to the success of any TRT protocol, and that any TSH over 1 - 1.5 should raise a red flag.
Is there anything else in my labs that are indicating that high TSH in my case is not a cause for concern?
Even physio and our genius @unreal24278 states that tsh can fluctuate throughout the day and be normal. I would always run free t3 and t4 though with my tsh.
I would think u need outright hypothyroidism to affect you where you feel it. That imo.
I would repeat again when you have a chance with the free values as well.
Tsh=1 is same BS as e2=22
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