Any Advice on How to Boost T/free t? high shbg - labwork included

[phaedo]

Do you think my Vit-D is low still? Yes I do experience fatigue with excercises, so I will be getting an adrenal test done ( saliva )

Regarding Gyno, no irregularities but I do have some nippes/pecs which sometimes can sore, which radiate towards the armpit

Vitamin D is trending on the low side. I would try 4,000 IU everyday and re-check in four weeks. And good idea about the diurnal cortisol test. I'd also recommend a cosyntropin stimulation test (ACTH), if your insurance can cover it.

I'm unsure about the radiating chest pain. Gynecomastia is more acute, and akin to an aching or burning sensation.

I'd agree that you T3 and T4 look good, but they look good because your pituitary is really pushing your thyroid to make more. If I were you I would keep an eye on it (if it were me I would check it every six months unless I was feeling absolutely fine, then yearly). Others may disagree with me here, but even though your antibodies are fairly low they are not what I would say is a desirable normal low level. Antibodies tests are not perfect, and also antibodies wax and wane from day to day. When I have seen people with these sorts of values in the past, they have fairly consistently risen over time. They are a sign of an autoimmune reaction and although I wouldn't worry, I would be aware and would also continue to watch these.

Selenium sometimes helps to suppress TPO antibodies and many people are deficient since soils in so many parts of the world are now deficient (including the UK where I see you are from). My levels were low, and I started throwing a couple of brazil nuts in my protein shakes a few times a week and now my levels are great, FYI.

^ definitely agree with this advice.

Lastly, if you can get over zealous with blood labs, I'd ask for a RT3 test, since your TSH is high-normal. Most medical professionals find the test a tad hokey - the liver processes the T3 hormone in sporadic, inconsistent levels throughout the day, so it's tough to draw conclusions from a single draw. It's shaky evidence, but nonetheless, it still can contribute to the overall picture of your health.

[mrmagoo2010]

Vitamin D is trending on the low side. I would try 4,000 IU everyday and re-check in four weeks. And good idea about the diurnal cortisol test. I'd also recommend a cosyntropin stimulation test (ACTH), if your insurance can cover it.

I'm unsure about the radiating chest pain. Gynecomastia is more acute, and akin to an aching or burning sensation.



^ definitely agree with this advice.

Lastly, if you can get over zealous with blood labs, I'd ask for a RT3 test, since your TSH is high-normal. Most medical professionals find the test a tad hokey - the liver processes the T3 hormone in sporadic, inconsistent levels throughout the day, so it's tough to draw conclusions from a single draw. It's shaky evidence, but nonetheless, it still can contribute to the overall picture of your health.

I have been taking 5000iu for a year now, so will keep the dose, or can I increase it you think? I don't wanna over do it

I can get the RT3 test , should I get tsh etc done again the same time as rt3, or would a single snapshot of rt3 suffice? any others you'd suggest? I'm thinking maybe DHT, pregnelone, progesterone once the cortisol test comes back

[phaedo]

I have been taking 5000iu for a year now, so will keep the dose, or can I increase it you think? I don't wanna over do it

I can get the RT3 test yes, any others you'd suggest? I'm thinking maybe DHT, pregnelone, progesterone once the cortisol test comes back

Yeah, I think I'd bump up the Vitamin D. It's hard to over do it (but possible!). Try 8000 IU and re-check. Are you taking any DHEA or pregnenolone supplements?

The additional labs you said would be beneficial, and also DHEA, if that hasn't been mentioned already.

Keep us updated!

[mrmagoo2010]

Yeah, I think I'd bump up the Vitamin D. It's hard to over do it (but possible!). Try 8000 IU and re-check. Are you taking any DHEA or pregnenolone supplements?

The additional labs you said would be beneficial, and also DHEA, if that hasn't been mentioned already.

Keep us updated!

No DHEA or pregnelone supps, I think my cortisol test will confirm what I'm thinking, I went through a period of stress few years ago and maybe havent fully recovered. The DHEA test is included with my cortisol test

[asiandudexxx]

I can get the RT3 test , should I get tsh etc done again the same time as rt3, or would a single snapshot of rt3 suffice? any others you'd suggest? I'm thinking maybe DHT, pregnelone, progesterone once the cortisol test comes back

You should try to get TSH, FT4, & FT3 with your RT3 to get a clear picture. These levels all kind of fluctuate, so taking them together is better.

I've heard (never had this substantiated) that FT3 assays can include RT3 as well, so even though your FT3 is high-normal, your RT3 may still be high.