Please read these 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
Please use the pencil icon below your post to add ranges to lab results. Can’t expect people to memorize ranges in all possible units.
Thyroid labs etc:
AM cortisol, at 8AM please
TSH
fT3
fT4
please not T3, T4 or binding capacity or other indirect methods
You may also need thyroid autoimmune panel if above is wacky.
IGF-1 to eval GH status
You seem to feel cold easily at times?
Outer eyebrows sparse?
TRT with low thyroid function can sometimes not go well as thyroid cannot support TRT restored metabolic demands. Ditto adrenals and cortisol.
T levels are moderate. E2 way too high. Target optimal is 22pg/ml - 80 pmol/L, so you are quite estrogen dominant. This drives down T. You will need Arimidex/anastrozole to combat this. Elevated E2 increases fat, increases aromatase, increases fat …
Low thyroid function also drives fat gain.
Your LH/FSH levels are very good. You might try a combo of anastrozole plus getting thyroid and body temperatures resolved. If that does not restore quality of life, start TRT. High-normal T would really help drive fat loss.
Please double check package of salt. Non-iodized packing can be deceptively similar.
Where are you located?