Hair loss on try dose?

[simm]

I'm taking no orals at all and only the trt testosterone dosage. I am hypothyroid but it's never been an issue before.
Also afew hours after my shot my face is on fire.

[Youthful55guy]

I'm taking no orals at all and only the trt testosterone dosage. I am hypothyroid but it's never been an issue before.
Also afew hours after my shot my face is on fire.

Not sure what to advise. I never feel such flushing side-effects from T. It's possible that being hypothyroid that your SHBG is low and that would cause a more sudden rush of T into your system. You might want to think about pulling SHBG labs next time and/or treat the hypothyroidism. Keep in mind that thyroid meds will more than likely affect SHBG levels and that may require a T dose adjustment.

[simm]

Youthful55guy thanks for the reply. I'll get my Dr to order labs and specifically shbg.

[Youthful55guy]

Youthful55guy thanks for the reply. I'll get my Dr to order labs and specifically shbg.

I would order a full T panel that includes Total T (worthless in my opinion but docs like it), Free T (the gold standard for adjusting T dose in my opinion), and SHBG. Make sure that the Free T is done using the direct analog/radioimmunoassay (RIA) method and NOT the calculated method using Total + SHBG + albumen.

If your Total T is suspected of being very low (<150 ng/dL) or very high (>1500 ng/dL), then you may want to consider the more sensitive (but more expensive) LC/MS method. However, in my opinion, anyone on a rational dose of TRT should fall within the sensitivity range of the normal RIA method.

I have also found that the 'Bioavailable" T method parallels the direct Free T method and can be used as a substitute. Not all labs offer it. My doc seems to like it and she orders all my tests from a different company than LabCorp (Pacific Diagnostic). So, once a year I get this test run too. Normally, all the labs I purchase on my own come from LabCorp.

Regarding hypothyroidism and SHBG, there is very good data that shows that when you increase T3 or T4 that SHBG will also increase. If you are low on SHBG, this may be good, but if you are normal (or in my case high) for SHBG, adding in thyroid hormones to your protocol may disrupt the balance of free and total T in your body and may require a T dose adjustment. So be careful when playing with thyroid hormones and make sure you also monitor T labs and SHBG.

[simm]

Thanks bro. I'll go through everything you have mentioned with my Dr. My hypothyroidism is controlled by 175mcg levothyroxine daily but I just have a feeling with British DRS that self administration of steroids is an area they don't like to delve into as sometimes the steroids aren't mixed and filtered in a sterile environment.... I'll definitely be putting this information past him though so thankyou!