Need Advice

Saw an Endocrinologist yesterday. It was the first time meeting with one. She commented on my Cortisol and said it looks fine. And she didn’t say much about my Testosterone since I’m seeing a Urologist for that. She said it is taken care of.

As for the Thyroid, she is definitely suspicious of a Thyroid problem. She thinks it could be Hashimoto’s, since it seems to run in my family (my mother, and grandfather on her side are both treated for Hypothyroidism). But she is making me do another Thyroid panel in 6 weeks, and I’ll see her in 8 weeks. It sucks, because I just had 2 Thyroid panels done in the past few months, why would I need another to confirm? She did want to test the Thyroid anti-bodies which I had done last year and they came back normal. She said 10% of people with Hashimoto’s will test negative for anti-bodies.

The way I see it is, why not go ahead and treat me now? If I test negative for the anti-bodies, I’ll still likely need treatment since I literally have all of the symptoms of Hypothyroidism, and my labs definitely don’t lie. I see my family doctor on Thursday, so I’m hoping to convince her to just treat me, and I don’t really need the Endocrinologist TBH. I really think treating my Hypothyroidism will help bring up my T levels, and I’ll likely not even need to take HCG.

Also, I got in a brief argument with the Endocrinologist. I was explaining the theory about Hypothyroidism being associated with Secondary Hypogonadism (low gonadotropins) and treating the Thyroid would likely help my low LH/FSH situation. It explains why Clomid didn’t work for me. She tried to argue and say that Clomid acts like LH in your body. I said no, HCG acts like LH in your body. Clomid is a SERM. It binds to Estrogen receptors which blocks the action of Estrogen. This regulates production of GnRH via negative feedback loop which should then in theory raise LH & FSH.

My family doctor refused to give me a script for Synthroid (even though she put my wife on it with only 1 TSH panel of 4.1).

Decided I’m going to do a trial of Synthroid since I don’t want to wait 8 weeks to see if I will even get a script. So I’m going to try 75mcg per day and see how that works out.

The plan will be, once I’m feeling better, and my thyroid panel improves, I will try a restart with Clomid again. Theoretically it should work if the hypothyroidism was the cause of my low LH/FSH. If not, then I guess I’ll just be on TRT/HCG and Synthroid for life.

Update:

Thyroid panel came back:
TSH: 2.40 mIU/L (0.35-5.00)
FT4: 14 pmol/L (12-22)
FT3: 5.2 pmol/L (2.60-5.70)

So Thyroid looks normal now according to the endo. No idea why I’m feeling so crappy. Antibodies did not come back yet, I will follow up. But I asked her if they came back positive, would she treat me, and she said no. Not until my TSH rises to the 4-5 range (which it has been many times in the past).

Don’t know what to make of this since I have a lot of hypo symptoms, yet FT3 is optimal. She recommended I speak with my Urologist to get my T levels up higher, since they are only midrange right now, and she thinks I might feel better with higher levels.

So frustrating. I guess I’ll wait for the antibodies to come back and go from there. I will probably self-treat if I’m positive for Hashimoto’s, but if not, I have no idea what to do next. Opinions?

Hey kris 90,
hope u r btr by now buddy. I red the entire article and was just expectng u to continue your story. How far have you gone since its been almost 5 mnths. Hows your T level. Did the thyroid thing worked. Just curious for thw knowledge sake…
Cheerzz!!