T3 and T4 dosing “sweet spot”

[Black Beard]

could use some direction on my thyroid results:

Tsh 1.34 (0.35-5)
T3 5.1 (3.9-5.4)
T4 10 (11-23)

Taking 3.5iu gh, working up to 5iu

I have t4 and t3 on the way. My plan was 100mcg t4 and monitor but I could use some help

Wrong labs, you need Free T4 and Free T3.


That T4 is definitely hypo, however, you are using GH which will drop your T4, but it's likely your thyroid was sluggish to being with. Most docs/nurses will say you are fine because your TSH is normal, which is false.


Before you start any type of replacement, get the proper tests done. Free T4 and Free T3. Anytime between 6-9 AM ideally. What time were these labs drawn?


There are A LOT of hypothyroid people walking around who's doctors tell them they are fine and have no issues because they only look at TSH.


Imagine diagnosing and treating low testosterone by ignoring total testosterone levels and instead looking at LH/FSH. This is what most doctors are trained to do with thyroid issues.

 

[dimethyl11]

Wrong labs, you need Free T4 and Free T3.


That T4 is definitely hypo, however, you are using GH which will drop your T4, but it's likely your thyroid was sluggish to being with. Most docs/nurses will say you are fine because your TSH is normal, which is false.


Before you start any type of replacement, get the proper tests done. Free T4 and Free T3. Anytime between 6-9 AM ideally. What time were these labs drawn?


There are A LOT of hypothyroid people walking around who's doctors tell them they are fine and have no issues because they only look at TSH.


Imagine diagnosing and treating low testosterone by ignoring total testosterone levels and instead looking at LH/FSH. This is what most doctors are trained to do with thyroid issues.

Sorry my results are free t3 and free t4 I should’ve included that

 

[Black Beard]

Sorry my results are free t3 and free t4 I should’ve included that

That's very low Free T4, Do you have symptoms like feeling cold easily, lethargy, brain fog, puffy face? Anything like that?

 

[dimethyl11]

That's very low Free T4, Do you have symptoms like feeling cold easily, lethargy, brain fog, puffy face? Anything like that?

Slight fatigue, I’ve chalked it up as being a business owner. Nothing else

 

[Black Beard]

Slight fatigue, I’ve chalked it up as being a business owner. Nothing else

You've only tested thyroid hormones while on GH right? No baseline from before?

 

[dimethyl11]

You've only tested thyroid hormones while on GH right? No baseline from before?

jan 2023 not on GH my tests were:

tsh - 1.7
free t3 - 4.6
free t4 - 17

 

[Black Beard]

jan 2023 not on GH my tests were:

tsh - 1.7
free t3 - 4.6
free t4 - 17

That looks better, if you feel overall fine, then you could leave it like that. The numbers look worse from the GH which is expected.

 

[dimethyl11]

That looks better, if you feel overall fine, then you could leave it like that. The numbers look worse from the GH which is expected.

thanks, ill try w 50mcg t4 and see if my baseline is truly baseline. Youve been a great help

 

[Black Beard]

thanks, ill try w 50mcg t4 and see if my baseline is truly baseline. Youve been a great help

 

[whacked]

Good info BB

Thx

 

[madg]

Great info by B.B

Damn i missed proM