And why was doc even ordering LH/FSH when they–>zero. Waste of money to find out what is expected.
fT3 is well above mid-range.
TSH well above 1.0
I think that your rT3 is interfering with fT3 and that your lab range is at fault. We see some lab ranges with high limit near your rT3=18.3
You also could be iodine deficient. Using iodized salt?
See below re oral body temperatures and report both sets of oral body temperatures and outline your use of iodized salt.
With your high E2, you will feel a lot better with more anastrozole to get near E2=22pg/ml which seems optimal for most guys.
New anastrozole dose is 0.25mg twice a week X 40.1/22 = 0.45mg twice a week. That is near the typically expected dose of 1mg/week. Try 0.5mg twice a week and see how you feel in 5-10 days.
rT3 can be elevated by:
day to day stress which can be over-training
stress events that can be injury, illnesses, surgeries
In the thyroid basics stick see terms: fT3, stress, adrenal fatigue, Wilson’s book.
DHEA-S: We you taking DHEA? If not that suggests that adrenals are not beaten down too much.
You can also lab:
AM Cortisol, at 8AM or 1 hour after waking up. No caffeine and try to have a calm drive to the lab and be mellow.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
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.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.