[billy3z]

@billy3z 3254 wrote:

Just got results of my blood work today from Quest Labs…

Tsh- 2.51 (0.40-4.50)mIU/L
t4 free- 1.1 (0.8-1.8)ng/dl
t3 free- 365 (230-420)pg/dl
RT3- 23 (11-32)ng/dl

ferritin- 112 (20-345)ng/ml

Dhea-sulfate- 76 (110-370)mcg/dl

pregenenlone- 96 (13-208)ng/dl

*prior to the above blood test I was on HC @ 15-20mg/day and t3 @ 50-75mcg/day for the past 4 months….

**I am fatigued and sleepy all the time, depression, metabolism is definately slow, diffuse rapid hair loss over the past 5 months (went from full head of hair to severe diffuse thining in just 5 months..)…. i used to think i had adrenal probs but i really think i am just hypothyroid… the tsh of 2.51 is the highest I have ever had, I have always been between 2.0 – 2.3 in previous tsh tests… my free t4 has dropped from previous tests which was usually 1.2 -1.3, my free t3 has roughly stayed the same…

With my t4 being on the low end and my high rt3 to free t3 ratio being = 16 which is not good…. would it be of benefit to supplement with T4 as well as T3 to help clear my symptoms of hypothryoid….?

[billy3z]

hmmm… I really wonder why then after years of progressing unexplained fatigue that I suddenly started developing/experiencing hypoglycemic episodes more and more even though I am not diabetic…. Then amazingly when I started supplementing with Hydorocortisone my hypoglycemic bouts stopped even though fatigue still continues….

[billy3z]

Also, if a person is showing low adrenal and hypothyroid symptoms and also has high reverse t3 ratio, would the addition of thyroid hormones that contain t4/t3 (such as armour) worsen the reverse t3 ratio/condition…?

I know I am dealing with low adrenal…. and hypothryoid symptoms due to low adrenal and I tested for a high rt3 ratio…..

[billy3z]

@Jean 3114 wrote:

People need to be aware that when cortisol is low, T3 builds up in the blood and will give false high results
along with symptoms of hyperthyroid. Cortisol is what allows thyroid hormone to enter tissues.

Im confused…. Wouldnt low cortisol and build up of T3 in the blood give “hypo” symptoms instead of “Hyper” since no hormone is actually getting into the receptors and thus that is why blood tests would give a false reading of high or normal T3 results…..??????

[billy3z]

Right now as we speak, I have no problem with libido or getting it up…. I havent really paid attention to if I am having morning wood or not, I will have to keep an eye on that right now… Im kind of in a rock and a hard place right now cuz the adex i have is dosed at 1mg capsules.. In the beginning when i started trt i did not use the adex for a good 2 months then at about week 9 I started having nipple tenderness and I added the adex (1mg) on every day that I took a shot (mon/thurs)… I also ran a quick dose of nolva @ 20mg for about 10 days until the tenderness disappeared then I stop the nolva and continued with the adex. So now I am about 4 months in to my trt and I havent had any sexual problems as far as performing or getting it up… Hopefully on my next visit to my trt doc I can see if I can get smaller dose capsules of adex.. I do however have exemestane 25mg tabs on hand as well.. I once played around with them about a year ago during a cycle just to try out and they crashed my e2 levels as I was having very bad joint pain (I think I used 12.5mg eod)….

[billy3z]

@billy3z 3093 wrote:

thanks pmg for the reply….

I am taking test cyp @ 210mg per ml/wk.(divided into 2 shots per week on mon .5 ml and thurs .5 ml).. I am also taking adex 2mg week (1mg on mon and thurs)….

I just had blood work taken last week, so I should have the results in another 2 weeks or so….

I have all the signs and symptoms of low cortisol (severe insomnia, hypoglycemia) as well as hypothyroid in regards to rapid hair thinning/shedding/hair texture change/color change (not balding), depression, and fatigue….

Past blood work revealed tsh levels all between 2.0 – 2.36, normal t3, t4 and high reverse t3… I also have low normal blood cortisol levels as well as when tested saliva cortisol I had low normal morning, low afternoon, high evening, very high late evening…. dhea is all over the place with each testing (high and low)….

Also my body temp is always 96-97.8 degrees…..

[billy3z]

@pmgamer18 3090 wrote:

Hi billy3z,

I have been on TRT 29 yrs now your on a very high dose of Test C / week. Most men start with 100 mgs a week. Did you every test your Estradiol levels doing that much Test C a week I am betting your levels are very high. High levels of Estradiol in med takes away any good the TRT is doing for you. I got bad ED, could not reach an orgasm, had bad Panic Attacks, Rashes, BPH, no libido, felt hot and sweating all day and nigh even looked red on the upper parts of my body and face with sore and hard nipples.

All of this gone getting Estradiol levels down you need to get this tested I would do a Quest labs Estradiol test #4021 the range is 13 to 54 pg/ml men do best at about 20 if you over 50 you would need Arimidex to get this down .5 mgs every other day it is one half of the one mg. pill.

The first thing that came back for me doing this was my involuntary nocturnal erections that appear during REM (Rapid Eye Movement) sleep. If you don’t have them I lost then for over 25 yrs then your levels might be very high.

Also my Free T levels were very low until I got my Estradiol levels down.
http://www.lef.org/magazine/mag2008/nov2008_Dangers-of-Excess-Estrogen-in-the-Aging-Male_01.htm

I need a lot of T per week but I do it this way I do 80 mgs every 3 days this helps keep me leveled and holds down Estradiol levels that one gets from one big shot and helps keep my blood thinner. I also add in HCG this acts like the LH message sent to your testis that tells them to make T this gets shut down on TRT so I do 250 IU’s the day before my T shot so every 3 days I do HCG.
http://jcem.endojournals.org/cgi/content/abstract/90/5/2595

So this is what I find that works and you can read about it in the last link. Get your Total T levels up into the upper 1/3 of your labs range for a young man and keep your Estradiol levels down so you get night time and morning wood every night.

I don’t feel all the stuff going around the web about RT3 is good if you can’t fix why your RT3 is high don’t mess with it because as soon as you stop T3 only meds your RT3 is just going to go back up again. Low Cortisol levels can make RT3 high even a lot of stress will do this. Taking T3 only meds makes SHBG go up and this binds up your Free Testosterone levels add this to high Estradiol and your not going to feel good.
http://www.griffinmedical.com/male_hormone_modulation_therapy.html

thanks pmg for the reply….

I am taking test cyp @ 210mg per ml/wk.(divided into 2 shots per week on mon .5 ml and thurs .5 ml).. I am also taking adex 2mg week (1mg on mon and thurs)….

I just had blood work taken last week, so I should have the results in another 2 weeks or so….

I have all the signs and symptoms of low cortisol (severe insomnia, hypoglycemia) as well as hypothyroid in regards to rapid hair thinning/shedding/hair texture change/color change (not balding), depression, and fatigue….

Past blood work revealed tsh levels all between 2.0 – 2.36, normal t3, t4 and high reverse t3… I also have low normal blood cortisol levels as well as when tested saliva cortisol I had low normal morning, low afternoon, high evening, very high late evening…. dhea is all over the place with each testing (high and low)….

[billy3z]

@hardasnails1973 3038 wrote:

I have patients take it the day of the test one hour prior to see if you are absorbing it as well as to see where your levels are at in serum to give some what of an indication your adrenal out put is. I have put people on HC and for some reason when tested they where not absorbing it. Once switched to cortef they had a clincal response as well as labs verified it as well.

Thank you HAN so much for your response… Also, In addition to testing coritsol via blood (12 hr fasting)… is there anything else that can be tested cortisol wise via blood… I just want to make sure that I have all bases covered as far blood testing goes…. I will have the other things covered such as thyroid, Iron, etc… (I will be picking up cortisol saliva kit from the dr’s office, last saliva test was about 3 years ago which revealed beginning stages 1/2 of adrenal Insufficiency/fatigue, my condition has since worsened)

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