Preparing to Talk to TRT-Resistant Doctors at Kaiser

We need lab ranges, not low, normal, high…

Please directly edit your post above to add the Labcorp ranges.

Thyroid lab ranges are really insane. TSH=3.0 is a real problem and should be closer to 1.0. This may be a direct result of not using iodized salt and often that affects everyone in a household. Please check oral body temps as per below to further eval this issue.

Thyroid labs should be TSH, fT3, fT4 avoid T3, T4
Suspect that your fT3=4.2 has a midrange near 3.2 and that is where you would want to be.

With high fT3 and low body temperatures or elevated TSH and high fT3, we can suspect elevated rT3 blocking fT3 and stress and adrenal fatigue is suspected. Read the thyroid basics sticky.

SHBG is very low. Sometimes that is indicating diabetes.

You have some primary and secondary hypogonadism.

low FT causing low E2

Prolactin can be high from some meds. List everything please.

Please read the stickies found here: About the T Replacement Category - #2 by KSman

  • advice for new guys - need more info about you
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc

Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.

KSman is simply a regular member on this site. Nothing more other than highly active.

I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.

The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.