Loosing weight when your metabolic rate is low can be difficult at best.
Major factors:
thyroid hormones
cortisol and rT3
GH measured by IGF-1
insulin sensitivity, fasting glucose and A1C
Of these, low thyroid function is very common and that can be caused by not using iodized salt.
Cortisol and rT3 issues can be caused by:
- starvation diets
- stress
- accidents or acute illnesses/infections
- chronic inflammation
- over training
- too much E2
Insulin and [pre]diabetic issues can be anticipated when overweight.
Labs:
TT
FT
E2
CBC
hematocrit !!!
PSA
AM cortisol - at 8AM please
fasting glucose
A1C - average glucose levels
IGF-1
fasting cholesterol
CRP - general inflammatory marker
homocysteine - arterial stress marker
Vit-D25 [or take 5000,6000iu Vit-D3]
DHEA-S
BP: not bad, but these will help
fish oil for EFAs, also nuts, flax seed oil/meal
high potency B complex multi-vit with trace elements including iodine+selenium
magnesium, AND NOT CONTAINING IRON
With TRT work, we typically see most guys needing around 1mg anastrozole for every 100mg T ester. So you do not seem to be managing E2 properly or checking it. Note that some are over-responders who need 1/4th the expected dose. Target is E2=22pg/ml [80pmol/L] which seems optimal for libido, fat loss, fat patterns energy and mood.
Please see these links found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- protocol for injections
- thyroid basics explained - check oral body temperatures as suggested
If body temps are low and not taking iodine or iodized salt, see iodine replenishment in that link. If getting iodine and have low temps, do these labs: TSH, fT3, fT4
TRT and gear can cause a hunger that does not seem to go away. This can be a protein hunger that can be satisfied with a protein shake. Do not feed a protein hunger with carbs, it does not work.