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Thyroid Bloodwork chronic issues?

g.r.o.w.t.h.

Well-known member
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Mar 27, 2005
Messages
401
For whatever reason, I never paid much attention to my thyroid panels. I've been reviewing years of past bloodwork (started getting consistent bloodwork around 2015) and have noticed a very definitive trend.

T-3 Uptake - is chronically high. Its outside of the reference range on every single blood test I've done since 2015.
T-4 Total - is chronically low. Its outside of the reference range on every single blood test I've done since 2015.
Free T-4 - this seems to stay in range. Its in range in all my bloodwork since 2015.
TSH - in range in about 50% of my blood work. High, outside of the reference range, in the other 50%. Could not find a pattern. Seems sporadic as to when its high and when its normal.

I do not take any thyroid meds. I have been on GH almost non stop since 2015 typically between 3-5iu daily (mostly generics).

Questions:
Should I delve further into this with more in-depth bloodwork? If so, what tests?
Any ideas as to what any possible causes could be here?
Anything to be concerned about?
Should I just supplement with T-4 as it seems T-4 is what is chronically low? If so, start at 100mcg? get bloodwork to access and titrate dose up or down accordingly?

Any insight into this is appreciated.
 
The results you write about are perfectly normal on gh. Gh increases the conversion of t4 to t3 hence low ft4 and high ft3. What to do ? add a t4 dose between 50 and 100mcg per day but I think ultimately and optimally it will be 100mcg
Perfect. Thank you.
 
For whatever reason, I never paid much attention to my thyroid panels. I've been reviewing years of past bloodwork (started getting consistent bloodwork around 2015) and have noticed a very definitive trend.

T-3 Uptake - is chronically high. Its outside of the reference range on every single blood test I've done since 2015.
T-4 Total - is chronically low. Its outside of the reference range on every single blood test I've done since 2015.
Free T-4 - this seems to stay in range. Its in range in all my bloodwork since 2015.
TSH - in range in about 50% of my blood work. High, outside of the reference range, in the other 50%. Could not find a pattern. Seems sporadic as to when its high and when its normal.

I do not take any thyroid meds. I have been on GH almost non stop since 2015 typically between 3-5iu daily (mostly generics).

Questions:
Should I delve further into this with more in-depth bloodwork? If so, what tests?
Any ideas as to what any possible causes could be here?
Anything to be concerned about?
Should I just supplement with T-4 as it seems T-4 is what is chronically low? If so, start at 100mcg? get bloodwork to access and titrate dose up or down accordingly?

Any insight into this is appreciated.
What is the Free T4 and Free T3 number?
 
On my last bloodwork
T-3 uptake - 47%
T-4 Total - 3.9
T-4 Free - 1.8
TSH - 5.31

I don’t see free T-3 on any of my bloodwork.


What units for Free T4? 1.8 ng/dL is the very top of the range? You dont have Free T3?

HGH tends to cause a big spike in Free T3 levels and a decrease in Free T4.
 
What units for Free T4? 1.8 ng/dL is the very top of the range? You dont have Free T3?

HGH tends to cause a big spike in Free T3 levels and a decrease in Free T4.
The panel that I have consistently ordered does not have free T-3. Obviously I will add that in the future.
You are correct on the free T-4. I am at the upper end of the reference range, and have even been higher than the reference range in the past. Total T-4 is ALWAYS low.
TSH is often high, I’ve seen it as high as 10 on previous bloodwork, but other times it is in range.
 
The panel that I have consistently ordered does not have free T-3. Obviously I will add that in the future.
You are correct on the free T-4. I am at the upper end of the reference range, and have even been higher than the reference range in the past. Total T-4 is ALWAYS low.
TSH is often high, I’ve seen it as high as 10 on previous bloodwork, but other times it is in range.

Very odd blood work, do you have any symptoms related to thyroid or feel good overall? Feel cold easily, fatigue?
 
I would say the only possible symptom I have is chronic fatigue. I rarely feel energized, I would say feeling sluggish is the norm for me in the absence of a decent amount of caffeine or other stims.
 

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