fT3 is the active hormone and is a bit below mid-range and could be improved. I would not have decreased T3 dose. However, when taking thyroid meds, serum levels change after dosing, so the numbers can be hard to judge. Body temperatures may provide a clearer picture.
fT4 is high normal. T4 is a reservoir to support fT4–>fT3.
I am calling this impaired fT4–>fT3 conversion.
This is sometimes seen with and caused by low ferritin.
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
- thyroid basics
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.
Please check oral body temperatures and you might consider this as a medication guide.
Both low thyroid function and low T can mess with your mood. Estrogen dominance can make guys bitchy and short tempered.
Are outer eyebrows sparse?
Do you get cold easily?
Were you iodine deficient for years prior to Hashimotos?
Labs:
TT
FT
E2
LH/FSH ← do not start TRT before doing this
prolactin if <25
PSA is >40
CBC
hematocrit
ferritin
AST/ALT
AM cortisol