Low T, I Think It's Thyroid? Ksman (was on Clomid now t-cyp)

Any input?

Better to stop HCG or start ai?

I started doing treadmill last week. It happened both times now. It takes hours for my heart rate to go back to normal. So now I am close to 100. Usually under 80.
Pressure is normal. I feel fine. Why this HR?
If it’s related to my hormones going up and down am not happy.
Am starting to lose patience with my mood swings and having unstable hormones.

Describe your protocol in detail, including previous protocol.

If E2 was on the high side before on your 100mg E6D, you need to lower your dosage at least 20-30mg going to a E3.5D protocol to reach similars levels to previous protocol.

Try 40mg twice weekly.

1st protocol 12/18-2/7 85mgE6d
2/7 - 50mg E3.5d added hcg 2/15
thinking of doing hcg(or dropping it) day of T injection instead of day b4. So if i take an AI i can take on same day. Seems like my e2 is very high day after HCG injection.
I took labs 2/21 (was miserable 2/20, injected hcg 2/19, T on 2/20 am). Actually took .25 arimidex (first tim3 ever) right after labs on 2/21. Made me feel better withing hours.

So my lab should confirm high e2. Going to cardiologist today, not happy with heart paps since starting injections or before when I had low t. esp with my heart rate still at 100 2 hours after cardio exercise. if cardio takes labs will try to squeeze in e2 TT and free t. Suppose to inject hcg today and T tomorrow. may either drop hcg or do with T tomorrow with an AI, if had lab results of e2 can determine if I should to .25 or .50 of ai.

alot judge e2 by night time wood and morning wood, not sure if I can do that since i take daily cilias. I get the extreme bloating which I think is indicative.
I will wait to lower T until I get lab results. would hate to lower T when I can add an AI if T is at a good level.

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@KSman
2/21 lab
Tsh 2.66
T4 free. 1.12 (.82-1.77)
T3 free 3.5 (2-4.4)

Why is my tsh still above 2? My free t3 had never been better.
Could it be the tsh is higher to keep up with my higher t levels?

rT3 is elevated which can block fT3 from entering your cells therefore raising TSH.

Ok folks for those of you tracking my thread and giving advice. Update labs.
2/21
Taken 2days after 250 HCG and 1 day after 50 t .
Total t- 687 ng/dl
% free and weakly bound(bioavailable) 22.2 (9-46)
Bioavailable 152 (40-250)ng/
Free direct T 14.2 (6.8-21.5)
E2 sensitive 31.5 (8-35)
Hct 48.8 not sure if I should worry about this yet

Not sure what to think of bioavailable numbers first time I got those.
Anyway right after the blood draw I took .25 arimidex and felt better. Took .25 Saturday (injected HCG and t also) and .25 Sunday. Feeling so much better. It appears I must get closer to 22 on e2.

I plan to drop HCG and just do T injections with .25 at time of injection. Then I will retake labs to see if I can drop dex or need to go to. 50 or stay at .25

Seems you are sorting it all out charlie. E2 highish so it makes sense you feel better after the AI.

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I also think it was the high e2 causing my HR not to recovery normally after exercise. Today I ran and HR recovered much better. I did stop cialis 4 days ago. But I think its the E2. took cialis today to see what happens. like @alldayeveryday I love my cialis! even if i dont need. has other benefits.

I am taking .25mg arimidex (total .50 a week)with my two 50 mg injections per week. My e2 symptoms are much better but still bloat a bit. I am getting new labs Tuesday.
Just wondering if it’s better to add .25 on a day in between (=.75 total) or go for .50 each shot?
Another option would be to lower my t a bit but I rather remain in upper normal if other labs are good. Thx

I dont think I’ve heard of anyone taking a dose in-between. I have seen ED or EOD protocols however. I dont know if it buys you anything. I think a lot of those ED guys are microdosing because they are AI over responders.

So if I inject Tues and Saturday. I would do .25 tues Thur sat. Figured so I don’t over do it on ai. If I am still close to 30. I think .50 each shot is what I need. Just thinking ahead in case I am like 27 then doubling my current dose may be too much. I was at 34/35.

Careful not to crash. Hear thats worse.

Yeah. That’s why I was think just adding .25 on a third day.
Unless what I think is bloat now is fat. Lol
Def feel much better though since I started ai. Glad I started at .25 each shot.
Will post results hopefully next Friday. The estradiol sensitive tests takes the longest to come back.

Thx man.

I went through Quest and it was only like 3 business days.

I go to lab corp. They take 3-4 days. I hate waiting…I hope u got the quest app get results directly. Lab Corp does the same. Get results after 24 hours of final report.

Yeah I got the app. Pretty slick.

Well I managed to crash my e2. Actually took .5 arimidex this morning right before I saw the labs. :rage: Not sure if I should inject more t this morning to help increase my e2 , but I think I should just wait.

Here are my numbers in 50 mg subq injection 2x a week = 100 a week. .25 ai at time of injection except this morning I took .50
Took labs morning of injection on 3/13.

TT 669 (264-916)
Bioavailable t 27% (9-46)
Direct T 15 (6.8-21.5)
Calculated 14.6 ng/dL = 2.18 %
E2 sensitive 8.8 (8-35)
Shbg 27.8
Albumin 5.1
TSH 3.4
free t4 1.02 (.82-1.77)
Free t3 3.3 (2-4.4)
Reverse t3 10.6 (9.2-24.1)

Plan - stop ai for 4 weeks and see my labs again to see if e2 goes back up to the low 30s where I dont feel good. Then maybe I need to microdose an ai?? But maybe it will maintain in the 20,s. Or do I lower t dose in 4 weeks if e2 in the 30s?

Its funny wife said yesterday my breasts were gone. Must be the low e2. When I look in the mirror huge difference in my boobs. Flat. Looks good. It seems like I def need e2 in the low 20s.

Thyroid I am utterly confused @KSman my free t3 is very good , rt3 not a problem. So why tsh high? Thank you all

Antibodies? You’ll learn real fast that increasing AI without labs is not a good move.

Actually feel really pumped today. Took a bit of extra t yesterday. About 12 mg more.
Like most medications I take they last in my system longer than the average. Even caffeine if I have coffee late morning I have trouble sleeping.

So I gather that the AI did the same. It is also possible that I was just at the point where my body was getting use to the higher T and the e2 was already in the way down.

My HCT and RBC count went down to great levels as before injections. They were still good while on injecting but were steadily increasing.

My thyroid antibodies were checked a couple months ago and were near 0.

It seems like when e2 goes down my tsh goes up. May be other variables but just an observation. I am researching a thyroid endocrinologist in case I need one.

Just had my wife’s dr pull her numbers her reverse t3 is almost at the high number. Her free t3 was mid range. She is overweight and this forum had helped me greatly and hopefully I pick an endocrinologist who will treat my wife so she can lose weight and be healthy. It’s obvious her reverse t3 is blocking the free t3 thus probably a low metabolic rate.

A great clue for everyone if you go to a specialist and they check the thyroid ask them or look at the paper to see what they ordered. You can tell instantly if you have a good Dr. If they are checking the thyroid and fail to order free t3. Run. You can expect maybe your primary doctor not doing it, but an endocrinologist who doesn’t order …run
A good endocrinologist should run thyroid antibodies and reverse t3. Probably insulin , glucose, a1c as well esp if overweight.

I am lucky that most of my doctor’s order what I ask them to do at least I have labs that I can decide if I need a specialist or insist on care.