Alright so I got in to see a new doctor which I was not optimistic about but was hoping to get the TPO antibodies tested. He argued with me about the TSH level telling me it was within range and even if it was slightly above the 4.0 top end, if FT3 is normal there is no need for concern. I expressed my concern that maybe the FT3 is fluctuating and there could be early signs of a thyroid problem, as the TSH is always highish and seems to have gotten progressively higher. He said that my symptoms are almost definitely from low T and offered to give me a shot of Testosterone to “see if it helped” - the second time I’ve had a doctor offer this!!
Although he seemed pretty uninformed I thought maybe he was open minded to the appropriate meds needed for a restart - this did not turn out to be the case. Just wanted to pump me with test every couple of weeks without any ancillaries. All round, another wasted trip to an uncooperative doc - still no TPO testing done.
I am thinking though, as much as I’d like to know if there is a deeper thyroid issue going on, nothing has definitively pointed to there being one. I do know, however, that I have low T and have a low functioning HPTA producing very little LH and FSH. I feel like unless I can find a way to have my own testing done online (in Canada this seems to be non existent), I should start planning to proceed with a restart attempt. If it fails, then I’ll have to try and look deeper and find other issues - perhaps TRT will be the only answer, or maybe there is something else I can fix. But I think I might need to just try some sort of protocol similar to what I’ve already proposed in this thread.
I’m still working out some details regarding whether I should add in low dose arimidex at the end of my SERM treatment, as I taper off and then continuing the AI for a while before tapering off that as well ( I think KSman recommends this). Also trying to determine whether I should shoot some triptorelin at the beginning of the SERM run, or maybe midway through. Based on all I’ve read, I think legit triptorelin will likely help me at least somewhat - and should work well with the SERM.
Once I’ve sorted some of this out I will put up a tentative final restart protocol proposal if anyone is willing to have a look or share some knowledge on these final issues. Thanks to anyone for any assistance.