Yes docs are just ignorant and don’t care to further educate themselves. They make more money on diabetes and cancer. They are no longer in the business of healing or treating the cause. they treat symptoms. Thats why you need a private doc who specializes in HRT or a clinic that specializes in HRT. I can say this with enough emphasis, men are wasting there time if they do not find a doc who specializes. Youll find they might prescribe, but they might not test free t, or they say take your dose every two weeks. others might not give you enough. others might pull your script if your levels go too high. ive seen one guy whose doc said “your levels are great now, and yoru system restarted, lets take you off trt”… wtf right?
TSH levels are not going to tell you the full story. from outside looking in you do have a good tsh level. My doc said he wants to see tsh around 1.5 or lower. most say up to 2.0.
If you have low t, its best to check thyroid regardless. There are folks out there with TSH at 2.0 and they find there body is not creating the amount of t3 it needs for quality of life. They experience fatigue and other issues. google low thyroid symptoms.
As a trt patient you need to ensure you do not have any loose ends. you surely need trt, but it probably wont work if thyroid is not operating normally. Or trt will not benefit you optimally if thyroid is not operating properly.
It saves time and money if one is starting trt. I dont want you to have the same issues i did. I spent 3 months without benefit on trt and needed thyroid. system suggested i get a full thyroid and i did not. if i had listened i would of saved my self a couple months of misery.
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my tsh was 1.19 (0.45 - 4.50) a month ago prior to TRT
IGF-1 – ng/mL - 75 - 216 - 192
Reverse T3 – Serum — ng/dL — 9.2 - 24.1 ---- 20.3
Estradiol, Sensitive – pg/mL – 8.0 - 35.0 - 3.2
Thyrogobulin Antibody - U/mL - 0.0 - 0.9 - <1.0
Thyroid Peroxidase (TPO) – U/mL - 0 - 34 — 9
Triiodothyronine (T3) - Free – pg/mL – 2.0 - 4.4 – 3
@enackers
Yup that’s low and damn good. Congrats. You probably don’t have any thyroid issues. You are a lucky man. It’s nice to not have to worry about trt and thyroid. Gets expensive and tiresome. Regardless i would check it and document a baseline before you get far into your trt. Add it to your next blood test. Say you want a full thyroid panel. There’s plenty of posts showing what values you want to get.
@enackers i do recall my doc who is a trt specialist saying he didnt like my t3 or t4
i cant recall which. it “wasnt bad” but “wasnt great”
Yup so he probably means it was not optimized like T is. My docs the same. He said he optimized thyroid for men that start trt because they are the only two feel good hormones have. If your gonna do trt, then do thyroid is his philosophy. I personally wouldn’t of started thyroid if I didn’t need it. You probably don’t need to unless your skimming at the bottom.
If one has symptoms that aren’t going away with trt then I could see thyroid l helping
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This is the truth, sick care is in the business of treating the symptoms with prescription drugs as the long term goal, getting to the root cause and treating the source of the problem is less profitable because it means no long term drug treatments. An example is a guy goes to see an endocrinologist and testosterone is low, he says your within normal ranges and do to a lack of erections prescribes cialis when the cause of erectile issues is low testosterone.
This scenario has happens on a regular basis and is intentional, big pharma has a huge influence on prescribing doctors. It would seem the two most difficult things to get treatment for are therapies that include bioidentical hormones. Bioidentical hormones therapies (TRT & thyroid meds) prevent and treat disease, if you think about it this is preventive medicine and not sick care.
That is why they only offer bioidentical hormones therapies only when you are ridiculously low insuring disease down the road which big pharma will swoop in and offer expensive prescription drugs and surgeries.
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A one two punch… might wanna add three four and five to that.