Starting TRT while subclinical hypothyroid...Yay or Nay?

[hammerheart]

Uhm... I had tT levels close to yours a couple of yrs ago, and was hypothyroid too. My endo at the time advised NOT to take thyroid hormone before TRT, and he was right on that one. Unfortunately, I was seeing another endo whom prescribed me levothyroxine. That resulted in the worst hypogonadal symptoms ever, anxiety, muscle loss, body hair falling, and dick feeling like it wasn't there.

Thyroid hormones accelerates sex hormones metabolism and excretion, and upregulate binding proteins, reducing the free quota available for tissues and brain. It's also true that thyroid dysfunction will compromise the benefits from TRT (I can personally vouch for that).

However, your fT levels look good compared to mine ( 8 pg/ml ), and your FT4/3 are great too, so I'd say your only slightly hypothyroid.

Imho you can start TRT safely before fixing thyroid. You won't need more than 50mcg of l-t4 which isn't a big dose, start with 25 right after commencing TRT then upgrade to 50 after two weeks.

Best of luck.

[RJslice]

Uhm... I had tT levels close to yours a couple of yrs ago, and was hypothyroid too. My endo at the time advised NOT to take thyroid hormone before TRT, and he was right on that one. Unfortunately, I was seeing another endo whom prescribed me levothyroxine. That resulted in the worst hypogonadal symptoms ever, anxiety, muscle loss, body hair falling, and dick feeling like it wasn't there.

Thyroid hormones accelerates sex hormones metabolism and excretion, and upregulate binding proteins, reducing the free quota available for tissues and brain. It's also true that thyroid dysfunction will compromise the benefits from TRT (I can personally vouch for that).

However, your fT levels look good compared to mine ( 8 pg/ml ), and your FT4/3 are great too, so I'd say your only slightly hypothyroid.

Imho you can start TRT safely before fixing thyroid. You won't need more than 50mcg of l-t4 which isn't a big dose, start with 25 right after commencing TRT then upgrade to 50 after two weeks.

Best of luck.

Need that in layman's terms buddy. Sounds like a catch 22