High TSH Prolactin, Subclinical Hypothyroidism, Adrenal Fatigue

Pharma TRT
1

Hi everyone,

Age: 29
Height: 6’2"
Weight: 189 lbs
Bodyfat: 13%

TOTAL TESTOSTERONE
666 ng / dL (240 to 816 ng / dL)

FREE TESTOSTERONE
469.6 pmol / L (131 to 640 pmol / L)
13.54 ng / dL (3.77 to 18.45 ng / dL)

SHBG
38 nmol / L (18 - 54)

E2
3.2 ng / dL (1.1 to 4.3 ng / dL)

E1
2.2 ng / dL (up to 6.8 ng / dL)

D VITAMIN
59 ng / mL

PROLACTINE
18 microg / L (up to 20 microg / L)

DHEA-S
265 microg / dL

PROGESTERONE
11 ng / dL (up to 15 ng / dL)

CORTISOL
15.9 microg / dL (AM 6.0 to 18.4 microg / dL)

FSH
5.0 IU / L (up to 10.0 IU / L)

LH
7.7 IU / L (up to 9.0 IU / L)

FREE THROXIN (T4)
1.4 ng / dL (0.9 to 1.7 ng / dL)

THROXIN (T4)
5.2 microg / dL (4.5 to 12.0 microg / dL)

TSH
5.2 mIU / L (0.45 to 4.5 mIU / L)

REVERSE T3
18 ng / dL (8 to 25 ng / dL)

ANTI-THYROGLOBULIN ANTIBODIES
less than 115 IU / mL (Less than 115 IU / mL)

THYROID ANTI PEROXIDASE ANTIBODIES
less than 34 U / mL (Less than 34 U / mL)

B12 VITAMIN
386 ng / L

GLUCOSE
91 mg / dL (75 to 99 mg / dL)

LDL-CHOLESTEROL
61 mg / dL

NON-HDL-CHOLESTEROL
73 mg / dL

TOTAL CHOLESTEROL
114 mg / dL

HDL-CHOLESTEROL
41 mg / dL

TRIGLYCERIDES
43 mg / dL

As you can see, TSH and prolactin are high. Read here in the forum that the 2 are directly linked. Lately when I’m leaving work I feel a lot of mental fatigue, I’m suspecting it’s adrenal fatigue. I realized I wasn’t using enough salt in my diet. I started drinking salt water, had a big improvement and the headaches decreased. I am very hot, almost not cold. I never used roids.

I believe that if TSH decreases prolactin also decreases.

How do I lower TSH?

With these TSH levels is subclinical hypothyroidism considered?

Should I keep drinking salt water? How much?

What advice should I follow?

Sorry for the language, I don’t speak much English.

Thank you.

2

Would be helpful to see you Free T3 level. Are you taking any iodine or selenium supplements? You need iodine and selenium for healthy thyroid function.
Celtic Sea Salt is best. No need to drink salt water. Add generous amounts to your food.
24-hour Cortisol saliva test to evaluate adrenal function. Do not guess whether you are high or low cortisol, symptoms can be similar in both states.

3

Thyroid treatment is the only way to lower TSH, TSH is elevated because there are not sufficient amount of thyroid hormones in circulation. I find it strange you have all this thyroid testing and fT3 is missing, the main active thyroid hormone. T4 is the total amount of raw thyroid hormone produced by the thyroid gland (not yet active/stored hormone) and its on the bottom end and should be midrange.

Looking purely at the numbers, it looks like subclinical hypothyroidism, but that doesn’t mean symptoms are going to be any less debilitating than full blown hypothyroidism.

High TSH is absolutely linked to high prolactin, treating the thyroid will likely correct the high prolactin. The problem is there is no evolution of medicine in countries outside the US and unfortunately you will have to wait for doctors in your country to catch up with the rest of the world.

Thyroid treatment outside the US is deplorable, you can know more than your doctors in a few hours of research. Thyroid, testosterone and hormones in general seem to be a blind spot for doctors worldwide, there just aren’t enough knowledgable doctors. Most are treating the numbers and the numbers themselves are wrong, the reference ranges are too broad and need to be narrowed.

Salt water has no iodine.

4

Diegoafm is correct that iodine is not present in salt water. Sea salt helps adrenal fatigue because of the sodium and mineral content. You need to supplement iodine as well. Arctic Kelp is what I use. Selenomethionine for selenium. I recommend T-150 by Xymogen for thyroid support.
Are you taking basic vitamins like Vitamin C?

5

It’s possible to have a “glitch” in TSH. I’m not sure why it happens, but I’ve seen it before with a family member.

I would measure it again and be sure to include TSH, FT3, FT4. You don’t need to measure antibodies again.

Best natural source of selenium is Brazil nuts. Although there is no definitive research on whether to not selenium will help your thyroid function, it’s worth a try. I would get your thyroid checked again before starting any supplements just to rule out a bad lab reading.

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6

I am not currently taking any iodine supplements, I will buy.

How do 4 to 5 nuts per day still need to supplement with selenium?

I will arrange the saliva test.

7

If you’re eating Brazil nuts, you don’t need to supplement with any more selenium.

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8

An increase in TSH is initiated by an increase in TRH. Guess what else TRH increases? Prolactin. So, TSH and Prolactin can be related in a way. Decrease tsh, decrease trh, decrease prolactin.

I believe getting your tsh down through thyroid meds will help get prolactin down as well as your tsh in check

9

Does thyroid treatment to lower TSH need to be done for life?

How is thyroid treatment?

I will retake the TSH test, and include FT3 and FT4.

10

When you stop using thyroid meds, would tsh increase again?

11

Yes.

12

One more thing. Are you taking biotin by itself or in a multi vitamin? Biotin will cause many false readings in hormone labs.

13

I use biotin. When I went for the exam I stopped using it for over 72h.

Is it possible that continuous biotin use may be misread on the exam?

14

Yes. This isn’t a round of antibiotics, it’s a long term, likely lifelong, treatment.

15

I would discontinue for a full week just to be sure, especially if you are taking mega doses. I don’t think long term use would have any effect. The half-life is very short and technically clears from your body within a day or 2.

16

I will do that.
With thyroid treatment, could it improve hormonal profile, testosterone, dht …?

Exam Evolution TSH

10/19/2019
5,2 mUI/L

07/03/2019
5,4 mUI/L

10/13/2017
3,3 mUI/L

10/04/2016
3,5 mUI/L

17

Absolutely. In more than one way too. It helps testicular function, pituitary function, and regulates many other aspects of your body. There is even a link between thyroid and SHBG.

18

My SHGB was from,
03/07/2019 of 44 mmol / L (18 to 54 mmol / L) in
10/19/2019 was 38 mmol / L 18 to 54 mmol / L),
I was able to slow down using BORO. 3on1off 6mg.

19

So far things are pointing to a normal thyroid function. As you increase thyroid hormone your SHBG will increase also. You don’t want it much higher if you can help it.

Your rT3 isn’t too high and your FT4 is good, I would be surprised to see a low FT3. But you won’t know for sure until you get it tested again.

20

Yes otherwise levels will return to baseline. When endocrine glands start slowing down the decline will continue. Thyroid medicine will lower TSH once thyroid hormones are sufficient.