Am I hypothyroid?

[Rjay]

The last year or so I have been dealing with some pretty bad fatigue and brainfog. I always figured it was my estrogen being out of line but started to realise otherwise when I got my e2 to appropriate levels. I had my TSH tested upon starting TRT roughly 1.5 years ago and it came back at 2.02 (0.6-5.2). A couple of months ago I came to realise a lot of my problem was adrenal fatigue (symptom correlation and low cortisol results) so I went to the doctor complaining of fatigue and he gave me some bloodwork including TSH again. This time it was roughly 2.5 so I decided Id try iodine to see if it lowered that at all. Fast forward to now roughly 2 months later symptomatically I feel better-energy is still nowhere near perfect BUT it is better to the point where I can workout again at least, my libido definately went up at the same time with no other obvious factors and my mood improved mildly as well. Yesterday I got more bloodwork including TSH with Free T3 and T4 as well. This time my TSH was at 4.5!? What the heck, anyways my T3 and T4 still looked perfect...?

I notice I still stay around 10-12% bodyfat with relative ease

I do have trouble staying warm especially in the morning

And like I said before the energy and lack of motivation still bothersome.

Any knowledge or advice guys?

[kelkel]

My TSH ranges pretty broadly as well and my doc always asks if I want thyroid meds. I refuse as all my other numbers are just fine. If the rest of my numbers take a dump then I'd consider it, but TSH by itself is not a diagnosis for meds, imho. You need more panels pulled, such as FT3, FT4, RT3, Antibodies, etc.

Curious if you ever pulled an iron panel?

[Rjay]

Yes on the bloodwork I reviewed yesterday we also had iron tested which came back fine as well as: blood sugar, blood counts, inflammation (CRP I believe is the actual test) all of which looked very healthy.

I had cortisol tested via saliva taken at 4 points in the day all of which came back low a few weeks ago pointing to adrenal fatigue. I dont want to get on thyroid meds either unless absolutely necessary.. More drugs=more problems

[jasondd1]

What's your body temp throughout the day. If its way low you need thyroid meds imo. The new thinking in thyroid is body temp. Some don't agree though

[Lee_1978]

As someone with hypothyroidism, I came to learn that there are many variables when it comes to diagnosing thyroid disease. Before commencing treatment my TSH was significantly elevated, but l never exhibited the classic symptoms of being hypo. There are many studies analysing hypothyroidism in females as they are disproportionately effected, but not so much with men. I would simply have bloods pulled to confirm, but it's important to understand that many thyroid meds become redundant after awhile and symptoms can return, even on seemingly high doses. A healthy diet rich in selenium and Vitamin D3 can improve the health of the thyroid gland.

[kelkel]

A healthy diet rich in selenium and Vitamin D3 can improve the health of the thyroid gland.

Yep.

Thyroid Regulation - 8 - Iodine, Selenium, Hypothyroidism - Life Extension Health Concern

[Oliver47]

Only your doc can diagnose this. Pelple who suffer with thyroid issues are anything but snowflakes and if you think so, you clearly prove that you know nothing about chronic illness. Thyroid disease can be devastating to live with and effects all areas of your life- medicated or not. i can also tell you that it takes a unique kind of grit to train/run with thyroid issues.
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[Youthful55guy]

A TSH of 4.5 is getting up there, so it is a point of concern. Free T3 and Free T4 are the more important numbers. Also consider having reverse T3 (rT3) tested, but it has to be at the same time as Free T3 is tested. It's the ratio of the two that's important. A healthy ratio should be at least 20:1 T3:rT3.

You haven't mentioned testosterone testing. If not, I definitely recommend at a minimum Total and Free T. I'd also throw in SHBG, but that can wait until after the Free T numbers come in.