Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- things that damage your hormones
- protocol for injections
- finding a TRT doc
- thyroid basics
You have ample fT3 to support good body temps. Low body temps suggest that rT3 is blocking fT3. Odd that TSH is not higher, unless you are mid-phase with long term iodine deficiency now with nodules.
What has been your history of using iodized salt?
Outer eyebrows sparse?
Feel cold easily? -yes
Your cholesterol is pathologically low. Docs have been brainwashed and probably tell you its great. If you have an extreme low fat diet, that is not good. Total cholesterol <160 is associated with increased all cause mortality.
DHEA-S is high as is progesterone. Both are adrenal hormones that do not have a pituitary control loop. Something that needs to be looked at. rT3 has an adrenal stress connection too.
You need Vit-D25 near 60
How long on Vit-D3 5000iu?
Cortisol seems to waver.
Please list all Rx and OTC meds.
Heart burn?
Digestive issues?
Other med conditions/events?
Glucose 106 was fasting? Metformin 500mg once a day with meals may help.
You should add these to the mix:
Fish oil, nuts, flax seed oil/meal
high potency B-complex multi-vits that list iodine+selenium and other trace elements
CoQ10, ubiquinol form, note the spelling carefully, get 50mg and take 100mg for first week and note if you feel any changes
Have you been exposed to toxins or fumes in the work place?
Water is safe?
Labs:
ACTH at 8AM
AM cortisol at 8AM
AST/ALT
serum uric acid
CoQ10
fT3 give controls mitochondrial production of ATP, the universal currency of cellular energy. CoQ10 enables this activity. This is all part of the body’s temperature control loop and low body temps indicate a problem. As your thyroid labs look quite good, I suspect rT3 and or CoQ10 as the weak point.
see what side effect fit you and consider when you introduced and quite 2 years ago:
Your high BP probably has a lot do do with arterial muscle tone. Your magnesium is not a factor in this case. Suggested supplements may help.
Trails to follow:
DHEA-S, ACTH, Cortisol
Low cholesterol
elevated serum glucose
Glucose could be up in-part from lack of mitochondrial activity.
See what diet changes you can make to increase cholesterol.