Help on new bloods couple questions

[jasondd1]

Ok so ive been doing 120 mg of test cyp a week and keeping arouind 1000-1100 total test and 24 free. The last 2 times that amount put me over 1500 and my doc was getting nervous. So before this blood i backed off the last 2 weeks to half dose and went 5 days with nothing before bloods taken just to bring it back down a bit. It worked perfectly(total test 1085) but I'm curious did doing that drastically lower my free test numbers(9.87)? Also my e2 sensitive is always low and i take no ai but 13.3 how is that? MY hematocrit is always high and i donate every 8 weeks. But it was 60 so yay!

[Paragon73]

60 hematocrit is very concerning, especially if you are donating every eight weeks. That 52.1 you show is still a bit high. It seems that rbc increase may be your most potent side effect. It appears that you should lower your dose in order to stay healthy.

It's best not to try manipulating your blood tests unless you're very sure of what you're doing, as your doc won't be able to help you. You really don't want to be taking so much test that you produce such a high hematocrit. It could kill you.

[kelkel]

Great points by Paragon! When it comes to the correlation between TT and FT it's not linear. Meaning one will not always follow the other perfectly. Be nice if it did. I assume you're probably pretty lean and have a low level of turn-over from T to E thus your lower level. If you feel good there don't worry about it.

BTW, super Lipids! I'm extremely jealous of your numbers.

Wanted to touch on your thyroid. With such a low TSH and lower T4 & FT4 it could be indicative of secondary hypothyroidism.

[jasondd1]

Thanks for the input guys. My hema was 49.5 before trt so i naturally run high red blood cells. Every 8 weeks is keeping me at 52. 60 was a bit of an outlier. I think some supps/peptides I was taking might of been what elevated it. But a rise of 2-3 of hema on trt sounds about normal to me? Hell my Bozo doc told me 60 was fine and that the new finding on trt is that high hema is of no concern. Just write me a script for some test bozo and I'll let the vets here help me is what i was thinking. I swear he said that

Kel i am hypo and my numbers are after being on t4 of 300 mcg per day and t3 100 mcg. i didn't even notice my numbers because I've been mostly going by my body temp. Before t3 t4 I was 96 at my dose now I'm usually 97.8 to 98.6. Do I need to up my dose? Or find a better research company to buy from?

Also my joints ache with such a low e. Ive got a shoulder that won't seem to heal. I'm usually in the high 20's to low 30's with no ai.

[KBall32]

Has your Doc mentioned anything to you about your TSH levels and possibly being Hyperthyroid? This can affect many of the levels you have mentioned.

[kelkel]

Kel i am hypo and my numbers are after being on t4 of 300 mcg per day and t3 100 mcg. i didn't even notice my numbers because I've been mostly going by my body temp. Before t3 t4 I was 96 at my dose now I'm usually 97.8 to 98.6. Do I need to up my dose? Or find a better research company to buy from?

Also my joints ache with such a low e. Ive got a shoulder that won't seem to heal. I'm usually in the high 20's to low 30's with no ai.

Not sure I'd change anything without talking to your doc. Boils down to how you feel. My TSH ranges pretty wildly from the 2's to into the 4's yet all my other numbers are mid-range. My GP always offers me thyroid meds (to cover his ass) but I turn them down as I feel just fine. When it comes to your E what made you so low this time if normally in the 20's or 30's?

[thisAngelBites]

Kel is right to go more by how you feel. The right values for people vary tremendously and the bloodwork is just a guide.

Also, temperature is generally at it's highest in the afternoon, and so if you are aiming for 98.6 upon waking, you might be taking too much.

Lastly, you might want to google the signs of hyperthyroidism so you generally know them (if you don't already) and watch for any signs of taking too much thyroid hormone, which will be bad for your heart in the long term.

[jasondd1]

Wouldn't supplementing with t4 and t3 crash tsh? So since I'm taking pretty high doses already those numbers really don't tell anything right?

Just took my temp at 6:30 pm and it's 98.1. It can be as low as 97.3 in the am

If anything I would think that my blood work coupled with still low body temp would indicate I'm still hypo no?

No idea why my e2 dropped unless it was a big drop in body fat. I was 239 in the spring and now 6 ft 4 220.

[thisAngelBites]

Yes, they are causing the low TSH, but when TSH gets totally suppressed like this it is wise to make sure that you are not taking too much thyroid, because taking too much is not good for you in the long run.

Body temp should be highest in the afternoon. If I were you, I would take it morning, afternoon (3-4 pm) and evening for a week and see how it looks (each taking should be after you've been seated for 5-10 minutes, and not after running upstairs to get the thermometer, if you see what I mean). Body temp is usually lowest in the early morning (4 am ish), so if you are getting up and taking it at 5:45 or 6 am, it might well be low.

Secondly, you can't go blindly by body temp. You have to use body temp and how you feel (including status of any symptoms of hypothyroidism you had, plus consideration of whether you have developed any mild symptoms of hyperthyroidism). You don't dose until your body temp reaches a perfect number and then stop. You start dosing, watch all these things, and then stop when your temperature is reasonable (human body temperatures in a population are a bell-curve and you may well not be in the middle of it) and when you feel good, and your hypo symptoms are gone, and you don't have any hyper symptoms, you are good.

Be wary of dosing to any number, it might cause you to miss your sweet spot and if you take slightly more than you need, it can start a chain reaction of other things, which you may not want.

Too much thyroid will cause your SHBG to rise, and be hard on your heart (and have numerous other effects). It will also cause your lipids to be lower - to me your lipids look someone who is mildly hyperthyroid. It could be that you are eating loads and loads of protein, but are eating very low fat, and almost no carbs. If that is not how you are eating, then I would be concerned about you being slightly hyper, or maybe you are taking statins.

Maybe you do still need more thyroid, I don't know. I'm just urging you to think about it more holistically.

[Mr.BB]

Curious about your hematocrit, do you live in the mountains or at elevated altitud, or near the sea?

What kind of sports do you practice?

[jasondd1]

Yes, they are causing the low TSH, but when TSH gets totally suppressed like this it is wise to make sure that you are not taking too much thyroid, because taking too much is not good for you in the long run.

Body temp should be highest in the afternoon. If I were you, I would take it morning, afternoon (3-4 pm) and evening for a week and see how it looks (each taking should be after you've been seated for 5-10 minutes, and not after running upstairs to get the thermometer, if you see what I mean). Body temp is usually lowest in the early morning (4 am ish), so if you are getting up and taking it at 5:45 or 6 am, it might well be low.

Secondly, you can't go blindly by body temp. You have to use body temp and how you feel (including status of any symptoms of hypothyroidism you had, plus consideration of whether you have developed any mild symptoms of hyperthyroidism). You don't dose until your body temp reaches a perfect number and then stop. You start dosing, watch all these things, and then stop when your temperature is reasonable (human body temperatures in a population are a bell-curve and you may well not be in the middle of it) and when you feel good, and your hypo symptoms are gone, and you don't have any hyper symptoms, you are good.

Be wary of dosing to any number, it might cause you to miss your sweet spot and if you take slightly more than you need, it can start a chain reaction of other things, which you may not want.

Too much thyroid will cause your SHBG to rise, and be hard on your heart (and have numerous other effects). It will also cause your lipids to be lower - to me your lipids look someone who is mildly hyperthyroid. It could be that you are eating loads and loads of protein, but are eating very low fat, and almost no carbs. If that is not how you are eating, then I would be concerned about you being slightly hyper, or maybe you are taking statins.

Maybe you do still need more thyroid, I don't know. I'm just urging you to think about it more holistically.

My lipids are actually a bit higher since trt and I'm trying to add in more fats. I am 300 grams plus protein a day under 80 grams fats mostly fish oils. My good cholesterol has actually been even lower. That is do to diet and genetics I think

My body temp ranges fro 97.6-98.1 through out the day. With 97.6 being first thing and 98.1 evening.

I have zero hyper sides usually quite the opposite resting heart is 76-81.

I'm guessing I'm close to my sweet spot then because I have no hyper sides however I have been falling asleep on the couch every night and that's not normal.

When I was diagnosed hypo it was due to converting t4 to rt3 and not t3. My rt3 was super high.

I really appreciate your help and it is making me look at it a different way.

[jasondd1]

Just to give an idea. I'm 46 6 ft 4 222 pounds

[jasondd1]

Curious about your hematocrit, do you live in the mountains or at elevated altitud, or near the sea?

What kind of sports do you practice?

Weights 5 days a week. cardio 2

Rogers Ar Elevation 1368 ft

[jasondd1]

Ok so my Doc was perplexed by some of my numbers and was thinking adrenals might be the problem so i took the saliva 4 times a day test and below are the results. My dhea seems low to me especially since I'm supplementing with kels dhea source at 50 mg a day. But adrenals seem fine? She's upping my dose of t3 until body temp rises. I'm at 150 mcg now. And she stopped my t4 altogether.