Blood work

[Tron3219]

I know this isn't the full recommended blood work, but with what I got, without me expressing any I my concerns, what should I b concerned about and what course of action should I take?
















Disregard the circles and underlines the doctor was attempting to explain them :/

[kelkel]

First, you need to edit out your personal info asap please! Repost so we can see complete ranges as well. I know, it's a pain. I'll address only your TT right now until we see the rest. Obviously it's low. Especially for your age. Are you coming off a cycle and pct, prohormones, etc?
If you answered no to this then you have to search for the cause with an astute doc's help. Thyroid, pathology, cortisol, primary, secondary! So many things can lead to low T.

Let us know what's up!

[Tron3219]

First, you need to edit out your personal info asap please! Repost so we can see complete ranges as well. I know, it's a pain. I'll address only your TT right now until we see the rest. Obviously it's low. Especially for your age. Are you coming off a cycle and pct, prohormones, etc?
If you answered no to this then you have to search for the cause with an astute doc's help. Thyroid, pathology, cortisol, primary, secondary! So many things can lead to low T.

Let us know what's up!

Yeah I spaced that! Lol I did it on the first one and was focusing on quality of picture...oops...

I have done a cycle, I finished my pct 17-20 weeks ago.

I did notice my tsh is low. Could that be result of aas usage?

[kelkel]

Absolutely. AAS effects your hypothalamus and pituitary. They work together with your thyroid gland:

Your hypothalamus releases thyroid releasing hormone (TRH) to your pituitary who then releases TSH signaling your thyroid to go to work (T4 & T3) and a reverse feedback system basically regulates things.

You need better BW with a full thyroid panel. Get your vit D checked as well as your DHEA-S, Pregnenolone, Free T. See the Finding a Doc sticky and look at the follow up BW.

[Tron3219]

Absolutely. AAS effects your hypothalamus and pituitary. They work together with your thyroid gland:

Your hypothalamus releases thyroid releasing hormone (TRH) to your pituitary who then releases TSH signaling your thyroid to go to work (T4 & T3) and a reverse feedback system basically regulates things.

You need better BW with a full thyroid panel. Get your vit D checked as well as your DHEA-S, Pregnenolone, Free T. See the Finding a Doc sticky and look at the follow up BW.

I see, shouldn't my levels have already come up above that after being off pct for almost half a year? I was just concerned cuz it's been sinking since I finished.

I'm planning on it, I'm actually trying to get my dr to refer me to an endo here where I work that specializes in hrt.

[kelkel]

I sure would have thought so as well. Definitely get to that doc. Find the problem, don't just slap more T on it. You know what to do!

[HRTstudent]

Couple things...

When TSH is low that's actually good. A TSH of 1 is just about ideal depending on who you talk to. For TSH you want low, and high is indicative of possible disease/disorder. Nonetheless, TSH is only part of the story. You really should test your total T4 and free T3 if you want a good picture of your thyroid.

And that T is definitely low, but if you have been recently messing around with ph or androgens then it's never so cut and dry to say your body is not done normalizing. The real minimum time is 3 months, but for some it can be longer. For you it's been around 4-5 months.

Realistically, I think it's fair to tackle your low T by optimizing nutrition and lfiestyle before going on T. You are similar in age to me though, so it's worth noting that if I could go back, I would have chosen to do a few months of low dose clomid before going on TRT. If clomid works for you, it's basically a lot easier in many ways than TRT. Consider it at least...

[Tron3219]

Couple things...

When TSH is low that's actually good. A TSH of 1 is just about ideal depending on who you talk to. For TSH you want low, and high is indicative of possible disease/disorder. Nonetheless, TSH is only part of the story. You really should test your total T4 and free T3 if you want a good picture of your thyroid.

And that T is definitely low, but if you have been recently messing around with ph or androgens then it's never so cut and dry to say your body is not done normalizing. The real minimum time is 3 months, but for some it can be longer. For you it's been around 4-5 months.

Realistically, I think it's fair to tackle your low T by optimizing nutrition and lfiestyle before going on T. You are similar in age to me though, so it's worth noting that if I could go back, I would have chosen to do a few months of low dose clomid before going on TRT. If clomid works for you, it's basically a lot easier in many ways than TRT. Consider it at least...

Thanks for the insight on the thyroid thing.
My nutrition and lifestyle has been very good for several years now. I eat healthy and in accordance to my goals (bulking/cutting). I'm no stranger to proper nutrition. I don't smoke, RARELY drink. I've drank maybe 3 times this year. And if its related to aas then I'd think after 4-5 months it'd b above the low mark at least. And it may b my head playing games but as I look back in time there are things that fit the bill of lower then normal t. But I do want to exhaust every possible option before actually getting on trt. I've got a hrt endo appointment towards the end of the month. I'm gonna get him to run all the right tests and see if we can kick start my hpta. Then if that doesn't bring it up to acceptable levels I may consider trt, but I don't want to get ahead of myself. I may need more time to normalize or a jump start