Mid-range can provide good metabolism and body temperatures, but your fT3 is very high. I strongly suspect that rT3 [not tested] is high and interfering with fT3 at T3 receptors. fT3 is the only active thyroid hormone, there is no T4 receptor.
fT4 is also well above mid-range.
TSH is surprisingly not elevated. TSH=1.0 is seen when things are ideal.
Cortisol is decent, perhaps a but sub-optimal.
rT3 can be elevated from stress leading to adrenal fatigue where eventually cortisol can get low.
Read the thyroid basics sticky and check oral body temperatures - see below.
I am having symptoms of high E. My stomach feels bloated all the time. I workout all the time. Eat well. I simply cannot lose weight around stomach and its about 10-15 pounds. Shortness of breath after a set of bench press for example. Only happened past year . Moderate increase in Blood pressure. I have used Pro hormones years ago without a decent pCT. I developed gyno about 4 years ago and now it flares quite a bit. Not sure why. HEre is what I do know. I have talked to someone about TRT and they cannot treat me because of high levels
Total t + free = 869
Free T = 10.1 %
SBHG = 69.9 (High)
Glucose was a little high and ALT was just a little high
Estradoil 27.7
Cortisol AM 13.7(probably high)
I was told I don’t have much free T and somehow SHBG is high
Would these side effects I have be caused by this? Please let me know
I also took propecia when I was 22 until about 31 or so. I quit because I thought it was causing side effects. I am 37 now.
Lab ranges please.
Total T includes bound, free and weakly bound.
FT=10.1% seems impossibly high.
With high SHBG, all the more.
Was FT=10.1% and index and not absolute %?
TT=869 is high.
Your high SHBG means that there is a lot of non-bioavailable SHBG+T inflating TT so TT overstates your T status while reducing FT.
I suspect that FT is quite low and with E2=27 you would then be suffering from estrogen dominance which is a factor for increased SHBG.
propecia can be very HPTA destructive for a few men, makes antigenic changes - gene expression changes.
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 numbers 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.
GLucose 104 range 65-99
No problem if this was not fasting lab work.
Thyroid blood results in case:
AM cortisol 13.7 ug/dl range (6.2-19.4)
TSH 1.310 range (.450 - 4.5)
T4 8.9 range (4.5 - 12.0)
Triiodothyronine, free, serum 4.2 range (2.0 - 4.4)
T4 free, direct 1.57 range (.82 - 1.77)