Go to discounted Labs and get the e2 sensitive lab test ordered. It will be better than shooting from the hip.
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Just keep monitoring with bloods every 6 weeks to keep from getting too high. If your e2 is climbing too high, with your high t levels I would adjust dosing and come down on the test first before introducing AI back in.
GASP! Come down on the test?! Lol.
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Check free t3. Donāt look at tsh. Is this nP medication t4/3 mixed in a pill? It has a short half life. I take it on an empty stomach and 8 hours later again. I wake up and feel blah so I started taking it the moment I wake up . I usually lay in bed ;/
It doesnāt work for me when I have eaten or eat within 30 mins of taking pill.
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Good catch, I should have known those ranges were total estrogen. Most doctors are incompetent when it comes to sex hormone, they know virtually nothing and order the wrong testing on a regular basis.
Free androgen index and total estrogen are useless and a waste of time, he needs to test estrogen directly.
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LOL I hear ya. But honestly I would rather have lower (as long as I felt good) then have what to me is a nasty drug to counteract the sides of higher test. Iām trying to get rid of using one right now myself.
My wife sets an alarm to take hers an hour before she even needs to get up.
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Iām not sure what the NP Thyroid pill is other than natural bovine thyroid. I always take it when I wake. Then I eat an hour later or so
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PT 141 Peptide?? ANYONE heard of that? He is seeing about putting me on that for libido
No listen to what all the guys here are saying. Get the test for e2. If your taking too much ai itās obvious why your not performing properly. This is trt ans estogen plays a role. Donāt add another variable. Your docs playing the traditional sick care provider. Oh you have Ed here take this or that. Instead of investigating and asking āwhatās the cause?ā.
I will cut back on the AI or stop it for a little bit. But my ED and shitty libido has been around long before I started trt
Sorry, Iām just frustrated.
I will have him do the e2 labs when he sends me for blood work again
The ED may or may not have been caused by your hormones prior to TRT. If your still not properly balanced though you will not see the benefits of TRT. I saw you canāt say you really feel any differnce energy wise, have you been on an AI from the beginning? Joints crackle and pop, hurt at all? I would look at that and also do you know what is causing the thyroid anti-bodies to be so high?
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Peptides arenāt going to restore lost libido, it may enhance it if you had it. Itās clear youāre not dialed in to your TRT protocol, these 6-12 month recover time are for those who are optimised on TRT with no thyroid problems. Add to that your thyroid looks terrible, TSH is too high.
Iāve never seen someone on thyroid medicine with high TSH before. You have little chance of optimizing your TRT protocol when your doctor is ordering the wrong E2 testing. Whenever I see doctors using free androgen index or total estrogens, itās an indication your doctor is clueless.
A sick care doctor is the last place I would seek care for my thyroid and or TRT, most have been taught wrong in medical school, Obamacare forced all the good doctors out of sickcare leaving behind all the average doctors to fill the gaps.
Youāre not even close to being optimized, TSH needs to be (<2.5) closer to 1.0, Free T3 midrange to high normal for you to be able to metabolize testosterone.
Itās obvious you are underdosed on thyroid medicine.
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This guys said it
That may be part of your answer. Something wasnāt in balance before TRT.
Did you take labs before TRT? If yes, what was your Estrogen level (and lab range) for pre TRT? Knowing that number can help you understand your post TRT labs.
Also, I agree with systemlord that the Estrogen lab ranges are very unusual.
If it were me, I would not be āsuggestingā to my doctor which tests to run. I would use an online lab and pay for the tests I need, and actually work toward answers.
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why is this?
I have no idea what is causing the thyroid anti-bodies What types of things can affect that?
My TSH is on a steady decline. it WAS almost at 6 (when I first started). It went from 6 to just above 4 (dec) to 2.83 now.
Could be an auto-immune disease like hashimotoās. Gluten intolerance could cause it too I believe. From everything I have read it always seems to be diet related and something people are eating causes an inflammatory response in the body that then attacks the thyroid. I admit I donāt know a whole lot about it but i believe it is something that you should look into more
Reading more about it online, the normal range is listed as .4 to 4.0. Mine is at 2.83ā¦ and Iām assuming it to still be on the declineā¦
What is <2.5 / closer to 1 about?
The normal ranges are BS, doctors use it against us to deny treatment and save on healthcare. Insurance companies are all for it.
The evidence for a narrower thyrotropin reference range
It has become clear that previously accepted reference ranges are no longer valid as a result of both the development of more highly sensitive TSH assays and the appreciation that reference populations previously considered normal were contaminated with individuals with various degrees of thyroid dysfunction that served to increase mean TSH levels for the group. Recent laboratory guidelines from the National Academy of Clinical Biochemistry indicate that more than 95% of normal individuals have TSH levels below 2.5 mU/liter.
Reference ranges for TSH and thyroid hormones
Though TSH remains the most commonly used endocrine test in clinical practice, the issue of an appropriate TSH, and to a lesser extent, free T4 and free T3 reference ranges is still under debate. First of all the distribution of TSH reference range is not normal, with median values (also depending on population iodine intake) usually between 1-1.5 mU/L
A TSH under 2.5, a TSH 1.0 is optimal in the same way high normal testosterone is optimal.
Optimal Range (Based on healthy adults) TSH 0.5-1.0 uIU/mL
Normal Range (Reference range on labs) 0.450 - 4.500 uIU/mL
Again the normal ranges for TSH are not normal.
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