Thyroid and Heart Problems

[mofisherman29]

I am a 77 year old male and have the following lab results.

Total Testosterone 357 (90-890)
Free Testosterone 1.87% (1.0-2.5%)
Free Testosterone 66.6 (30.0-135.0)
Estradiol 27 (13-54)
Cortisol 15.7 (AM draw 4.0 22.0) blood was actually taken at 11:30
Free T4 0.9 (0.8 - 1.8) (10% of range)
Free T3 270 (230 - 420) (21% of range)
SHBG 27 (21 - 76)
TSH 5.23 (0.34 - 4.82)

I've never seen a range on total testosterone like the one given above by the lab.

I usually take naps just about every day. I can't get a full night of sleep. I awaken early and then have to take naps later in the day. I am sometimes cold when others are not. I have the internal itching in my ears, inability to concentrate or read long periods of time, forgetfulness, foggy thinking. I have a heart arrhythmia, high cholesterol, and blood pressure problems.

I just had my second pacemaker put in, this one has a defibrillator built in.

My son requested the above testing (and is typing this) - not my doctor. My doctor says that the TSH is high, but since my free T3 and T4 are in range, it's OK.

I'm wondering if thyroid treatment would be helpful and maybe testosterone replacement. The thyroid treatment seems pretty obvious to me that at least more testing should be done if not just starting treatment based on my symptoms and the above tests. The testosterone replacement is not so obvious to me, but I wonder if it would be of any help to my heart. My heart's ejection fraction was down to 35% when tested last. If the testosterone would help it to pump any better at all, it may be worth it.

I would appreciate any comments anyone has.

 

[hardasnails1973]

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[JanSz]

I am a 77 year old male and have the following lab results.

Total Testosterone 357 (90-890)
Free Testosterone 1.87% (1.0-2.5%)
Free Testosterone 66.6 (30.0-135.0)
Estradiol 27 (13-54)
Cortisol 15.7 (AM draw 4.0 22.0) blood was actually taken at 11:30
Free T4 0.9 (0.8 - 1.8) (10% of range)
Free T3 270 (230 - 420) (21% of range)
SHBG 27 (21 - 76)
TSH 5.23 (0.34 - 4.82)

I've never seen a range on total testosterone like the one given above by the lab.

I usually take naps just about every day. I can't get a full night of sleep. I awaken early and then have to take naps later in the day. I am sometimes cold when others are not. I have the internal itching in my ears, inability to concentrate or read long periods of time, forgetfulness, foggy thinking. I have a heart arrhythmia, high cholesterol, and blood pressure problems.

I just had my second pacemaker put in, this one has a defibrillator built in.

My son requested the above testing (and is typing this) - not my doctor. My doctor says that the TSH is high, but since my free T3 and T4 are in range, it's OK.

I'm wondering if thyroid treatment would be helpful and maybe testosterone replacement. The thyroid treatment seems pretty obvious to me that at least more testing should be done if not just starting treatment based on my symptoms and the above tests. The testosterone replacement is not so obvious to me, but I wonder if it would be of any help to my heart. My heart's ejection fraction was down to 35% when tested last. If the testosterone would help it to pump any better at all, it may be worth it.

I would appreciate any comments anyone has.

Congratulations on your son.
I am 67yo and have 34yo son and 32yo daughter.
I am not a doctor.
Here we mostly deal with adrenals, thyroid, gonads.
For complete evaluation doctor still is the first choice.
There are two doctors, one Dr John (on this board) and Dr Marianco on the other.
If (single, mostly legal reasons) trip to either of them is not possible you can use a help of local doctor who will be consulted and would write scripts if any.
Ostheopats are known to be more cooperative in this fashion.
Info on Dr John is here
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It would be helpfull to have more information.
Height, weight, body fat.
More complete blood work.
Yesterday I had a doctor's appointment and asked him to prepare for me script for my following (end of March) blood work, that will be done at Quest Diagnostics.
I will have blood drawn at Quest Diagnostics blood drawing location.
Stay away from havong blood drawn at doctors office, if you can.

Complete Metabolic Panel
Hepatic function Panel
Lipid Panel
CBC
plus specifically:
Total Estrogens
estrone
Estradiol, sensitive
Progesterone
Pregnenolone
Total Testosterone
Free Testosterone (calculated)
Bio-available Testosterone (calculated)
Albumin
sex hormone–binding globulin (SHBG), serum
DHT (dihydrotestosterone)
Hematocrit
prolactin, serum
FSH (3rd Generation)
LH
Thyroid Stimulating Hormone (TSH)
Free (T3) triiodothyroxine
Free T4
Total T4
Total T3
DHEA Sulfate
Cortisol, AM/PM
SOMATOMEDIN C (IGF-1)
IGF-BP3
C-reactive protein (high-sensitivity)
Fibrinogen
Hemoglobin A1C
Lp(a)
Bilirubin
AST (SGOT)
ALT(SGPT)
VLDL
Homocysteine
Insulin
Glucose, plasma
Magnesium
Vitamin D, 1, 25-Dihydroxy
Folate
Vitamin A
Ferritin
B12, selenium, zinc, copper
Free PSA
FreePSA/Total PSA
-----------------------------------
Off hand you goals are
TT=650
FreeT=160
E2=15
DHEA=500
DHT=75
FreeT3=3.8 (carefull after about 2grains of Armour Thyroid)
Your naps are due to weak adrenals, you can take gradually up to 20mg/day of Cortef in divided dose.
carefull between Corteff and Armour, read up on it first
Stop/retrat (a little) when heart beat over100bpm and or temp over 36.6C or 98F
but you have a pacemaker (hmmmm), check up on list of signs
body fat least possible
---------------
Read up on using Corteff and Armour Thyriod ,
do not over do Testosterone, try to stay with cream 100mg/1gram (1/2 to 1gram dose daily)
or Androgel, 5gram to 10gram, one or two packets.
Use blood test to adjust a dose.
---------------
Stay away from off brand laboratories, I used LabCorp in the past, now Quest Diagnostics.
----------------
You can get good education and lots of good quality supplements at LEF.org
Read their "protocols"
Some examples:
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On thyroid an adrenals regulations read on this web site
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[pmgamer18]

You do have a low thyroid and treating it with some Armour would help you feel much better. Go to this site and read about this.
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Hell read the site front to back and back to front this helped me big time. My Dr. was doing the same thing to me with my Thyroid now I am on Armour and feeling much better. It takes a long time to get to a good dose so go slow.
Phil

I am a 77 year old male and have the following lab results.

Total Testosterone 357 (90-890)
Free Testosterone 1.87% (1.0-2.5%)
Free Testosterone 66.6 (30.0-135.0)
Estradiol 27 (13-54)
Cortisol 15.7 (AM draw 4.0 22.0) blood was actually taken at 11:30
Free T4 0.9 (0.8 - 1.8) (10% of range)
Free T3 270 (230 - 420) (21% of range)
SHBG 27 (21 - 76)
TSH 5.23 (0.34 - 4.82)

I've never seen a range on total testosterone like the one given above by the lab.

I usually take naps just about every day. I can't get a full night of sleep. I awaken early and then have to take naps later in the day. I am sometimes cold when others are not. I have the internal itching in my ears, inability to concentrate or read long periods of time, forgetfulness, foggy thinking. I have a heart arrhythmia, high cholesterol, and blood pressure problems.

I just had my second pacemaker put in, this one has a defibrillator built in.

My son requested the above testing (and is typing this) - not my doctor. My doctor says that the TSH is high, but since my free T3 and T4 are in range, it's OK.

I'm wondering if thyroid treatment would be helpful and maybe testosterone replacement. The thyroid treatment seems pretty obvious to me that at least more testing should be done if not just starting treatment based on my symptoms and the above tests. The testosterone replacement is not so obvious to me, but I wonder if it would be of any help to my heart. My heart's ejection fraction was down to 35% when tested last. If the testosterone would help it to pump any better at all, it may be worth it.

I would appreciate any comments anyone has.