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- Jan 15, 2011
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Ok that helps a lot because I’m kind of stuck in a state where I don’t know if I am taking too much or too little since the symptoms are similar (with T3 only, i felt hypothyroid when i took too much but the reality is I wasn’t since my FT3 went down in a state of over medication).Not necessarily, titrating T4 down when increasing T3 is just a cautionary step. Generally, most men need 100-200 mcg daily fasted to attain euthyroid status. Some will need 5-10 mcg T3 to achieve euthyroid status. (Taking T3 actually stimulates further T4 to T3 conversion in tissues).
Often times lipids and GFR will not improve in men who need more T4 or T3. Liver and kidney function is optimized in a euthyroid state, as well as mood, cognition/memory, etc.
Do NOT look at TSH. Do you look at LH/FSH when titrating TRT? TSH will lead you astray. Generally, euthyroid state will have you at <1 TSH, oftentimes highly suppressed (Like TRT).
TSH is exactly like LH/FSH, they are trophic pituitary peptide hormones that are just signals.
So you don’t think there’s a problem with crushing TSH? There is evidence of cardiovascular risks with suppressed TSH so I still would rather keep it above 0.5 if I can.