Updated Bloodwork-- Am I Hypothyroid?
Changed Drs. Now on 200 mg. of cyp a week and no HCG. Still felt lousy so I had labwork done 3 weeks ago. Labs are taken 7 days after previous shot, right before my next shot. Shots are every 7 days. Dr. wants to see what my levels are at toward the end of the week. I used to do HCG on days 5 and 6 but after 2 years I was no longer feeling the effects. Two weeks ago I started taking .25 arimedex. I had total erectile dysfunction, was gaining around midsection, could not recuperate from workouts even on four days rest and just felt lousy. within past week my libido has been coming back and my workouts are starting to feel better. Is the arim going to do the trick or do I need to see endo about hypothyroid? Here are latest labs:
T3, free 296 Ref range 230-420
T3,total 99 ref range 97-219 ** is this the problem?
T3, reverse 21 ref range 11-32
test total 800 ref range 250-1100
test free 217 ref range 46-224
test bioavailable 428 ref range 110-575
shbg 15 L ref range 18-47
albumin serum 4.3 ref range 3.6-5.1
ultrasensitive estradiol 29 ref range < or = 29
with such a low shbg shouldn't my e2 be down around 17?
I am also concerned about low thyroid output!!
Reduce your total weekly testosterone dose from current 200mg/week to 175mg/week
but
change the way you are taking it.
Buy these syringes:
BD Ultrafine II U-100 Insulin Syringe 31 Gauge 3/10cc 5/16inch Short Needle
Using 200mg/mL testosterne enanthate or cypionate
fill syringe to 25 units (takes 2 minutes)
do shots EOD(EveryOtherDay)
If you are press for time, pre-fill 5-10 syringes at your leisure time.
Do not rush shots, it takes about 30 sec or little more.
I use only one hand, the other in my pocket, and inject into my glutes (mostly). No drawing back, insert needle straight until tip of syringe makes about 1/4" dimple, then press plunger.
Looking at SHBG in you original post and now this one, your body adjust very nicely to testosterone levels.
If you use EOD schedule you will end up someplace between 20-25 units per each shot, that is 140-175mg/week
Keep doing the BAT tests.
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Your thyroid is in dumps.
Very bad shape.
To adjust thyroid, first you need to have good adrenals.
You also need good mineral and vitamin support for both (adrenals and thyroid).
Best would be if you could do
Genova Diagnostics Hair Analysis (~$75 when prescribed by doctor, but insurance does not pay)
and
SpectraCell5000
Insurance pays for this test but usually there is residual of about $75.
If you want to pay cash, they will do the test without doctor's script.
At the absolute minimum, you need good amounts of ferritin, iodine, selenium, zinc and copper.
To support your thyroid you will need
until next thyroid test
50mcg-Cytomel(T3)
make sure that you are not taking any T4 with it.
You will have to keep on a side
Cortef, hydrocortisone or Medrol
if you find difficulties when taking Cytomel
that mean your Adrenals are shot and in need of support.
If that happens, best course of action would be to stop everything and concentrate on good testing first
supporting the weak points
after a while resume with Cytomel.
..............
My own Goals
DHEAs(500-640)mcg/dL(13.55-17.34)µmol/L------------------major player, 95% time overlooked
Progesterone(0.9-1.2)ng/mL
Pregnenolone(> 100ng/dL)
Estradiol, Ultrasensitive(25-29)pg/mL
Estrone, LC/MS/MS (23244X)
do not use Anastrozole if possible or minimize its use
BATest(342, 460-575)ng/dL------------stay around 342 if you need more than 1.5mg/week Anastrozole to control E2
DHT(60-90)ng/dL (I am active when it gets over or under this range)
RT3(0.12-0.32)nmol/L=(7.8-20.8)ng/dL
TotalT3 in upper 1/3 range (June09 LEF magazine)
http://www.lef.org/magazine/mag2009/jun2009_Using-Blood-Test-Findings-To-Induce-Weight-Loss_03.htm
FreeT3~400pg/dL or higher if TotalT3 goal not reached, but not higher than 450
TotalT4>bottom of range
FreeT4 rather low, do not know (yet) how low
Oral temperature (36.25 - 36.80)C = (97.25 - 98.24)F (no sinus or oral infections)
Ferritin(100-150)
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