Hi!I have just added test additions to this post in another thread, but I decided to post it in a new thread as well in hope that more people will respond to it. I have an appointment with a doctor Friday whom may prescribe me testosterone, so I would like to be as knowledgeable as possible on my situation. I do not know for certain what the following tests indicate.
It looks like my problems will not be remedied by treating my hypothyroidism. As noted at the bottom of the page, I take 50mcgs of Synthroid and I do not feel relief from my symptoms; and from the results it would appear my T3 levels are okay. Does it appear that I have primary or secondary hypogonadism and does it appear I will need testosterone? What do these tests suggest is the issue? Briefly: since I was 12 years old I experienced a poor quality of life. I have been misdiagnosed for a number of years; and finally, I was able to convince my primary physician to test my testosterone at the age of 20. I have had a series of tests over the past 6 months with various doctors; which are all posted below. I don't have a definite diagnosis yet; but at this point, it is confirmed that something must be done to relieve my symptoms and better my life. If there are any questions in regards to my situation, symptoms, etc. please consult my past posts; they have a more extensive history. If the question is not addressed, please post it here and I would be happy to answer.
Please: any advice would be helpful; I look forward to all your input.
I underlined tests that I felt could cause issue.
Testosterone, Serum: 265 (348-1197)
This was concerning, so another more extensive test followed.
TSH: 2.360 (0.450-4.500)
LH: 4.2 (1.7-8.6)
FSH: 1.1 (1.5-12.4)
Testosterone, Serum: 330 (348-1197)
Prolactin: 8.5 (4.0-15.2)
The next test was issued by an endocrinologist.
Free Testosterone(Direct): 9.4 (9.3-26.5)
Testosterone, Total, Lc/Ms: 253.9 (348-1197)
Lh: 4.1 (1.7-8.6)
FSH: 1.1 (1.5-12.4)
The next test my current endocrinologist ordered because I had been off Prozac for one week and figured why not.
Cortisol: 20.8 (2.3-19.4)
TSH: 4.2: (0.450-4.500)
The first two tests were taken at 11:30 AM and 10:30 AM respectively, and the last two were taken at 8:00 AM.
I had an MRI done, and the results came back clear.
ADDITION:
Thyroid Panel With TSH
TSH: 1.930 (0.450-4.500)
Thyroxine (T4): 9.6 (4.5-12.0)
T3 Uptake: 34 (24-39)
Free Thyroxine Index: 3.3 (1.2-4.9)
Thyroid Antibodies
Thyroid Peroxidase (TPO) Ab: 8 (0-34)
Antithyroglobulin Ab: <20 (0-40)
Luteinizing Hormone (LH): 7.3 (1.7-8.6(
FSH, Serum: 1.3 (1.5-12.4)
Calcitonin, Serum: <2.0 (0.0-8.4)
Reverse T3, Serum: 21.5 (9.2-24.1)
Vitamin D, 25-Hydroxy: 32.6 (30.0-100.0)
Triiodothyronine (T3): 115 (71-180)
Estrogens, Total: 83 (40-115)
Ferritin, Serum: 70 (30-400)
Triiodothyronine, Free, Serum: 3.7 (2.0-4.4)
I do not know if this is important, however, these tests were taken at 8 AM. This could cause for the imbalance in some tests, as I had not eaten. I wonder if these are impacted: Calcitonin, Serum; Ferritin, Serum; and/or Vitamin D, 25-Hydoxy.
It is also important to note, I am currently taking: 50mcgs of Synthroid in the morning, 20mg of Adderall in the morning, and 10mg of Prozac at night. I started taking Synthroid before the last blood work.
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