Input on blood work, thyroid???

[jomamma007]

Hey guys, wondering if you could chime in. I know my estrogen is way too low, but other then that do these look okay? Thyroid? TSH is always around 1.5, don't know why it's elevated this time...

Lipid Panel
Cholesterol, Total 119 100-189 mg/dL SO
Triglycerides 40 0-114 mg/dL SO
HDL Cholesterol 50 >39 mg/dL SO
VLDL Cholesterol Cal 8 5-40 mg/dL SO
LDL Cholesterol Calc 61 0-119 mg/dL SO

Thyroid Panel With TSH
TSH 2.690 0.450-4.500 uIU/mL SO
Thyroxine (T4) 6.5 4.5-12.0 ug/dL SO
T3 Uptake 31 24-39 % SO
Free Thyroxine Index 2.0 1.2-4.9 SO

Testosterone, Free/Tot Equilib
Testosterone, Serum 662 348-1197 ng/dL SO
Testosterone,Free 15.82 5.00-21.00 ng/dL BN
% Free Testosterone 2.39 1.50-4.20 % BN

Prostate-Specific Ag, Serum
Prostate Specific Ag, Serum 0.3 0.0-4.0 ng/mL SO
Roche ECLIA methodology.

IGF-1
Insulin-Like Growth Factor I 228 83-344 ng/mL BN

Estradiol, Sensitive
Estradiol, Sensitive 6 3-70 pg/mL

 

[Megatron28]

Seems fine except for what you called out. It would be interesting to see where your SHBG comes in at.

 

[jomamma007]

it's 28, if that matters???

 

[Megatron28]

it's 28, if that matters???

What's the range?

 

[jomamma007]

What's the range?

(16.5-55.6)Labcorp
was over 60 before testosterone replacement therapy (TRT), but came down a ton having higher test levels.
Maybe a thyroid problem???

 

[Megatron28]

Here's some info I found regarding SHBG and Thyroid -- which are connected.

Serum SHBG levels are increased in endogenous and exogenous hyperestrogenemic states, hyperthyroidism, aging, phenytoin treatment, anorexia nervosa, and prolonged stress. SHBG levels are lowered with androgen treatment, obesity, acromegaly, and hypothyroidism. In most instances, measurement of serum total testosterone will detect individuals with androgen deficiency. In conditions with abnormal SHBG levels, the total testosterone measurement (usual laboratory test requested) may be misleading. In these situations, direct measurement of free testosterone by the dialysis method, measurement of bioavailable testosterone, or calculation of the free testosterone by a formula requiring the serum testosterone and SHBG concentrations may be necessary to separate true chemical testosterone deficiency from binding protein problems. Testosterone secretion has a diurnal variation and is highest in the morning in young adult men; this rhythm is blunted or lost with aging.

 

[SilverBackGorilla]

You don't have a thyroid problem, I have a thyroid problem, mine is like 5.6 which indicates hypothyroidism. I am now on my second day of Armour Thyroid medication. I go back in 6 weeks for a dose adjustment if needed. My SHBG is 12 and free test is through the roof, enjoy it.

 

[jomamma007]

well isn't the proper range supposed to be .3-3.0 recommended 10 years ago put labs refuse to adjust ranges?

 

[KaseyT1]

You don't have a thyroid problem, I have a thyroid problem, mine is like 5.6 which indicates hypothyroidism. I am now on my second day of Armour Thyroid medication. I go back in 6 weeks for a dose adjustment if needed. My SHBG is 12 and free test is through the roof, enjoy it.

What dose did they start you on? I started a few weeks - 60mg. I certainly don't see an improvement and feel like I'm more tired/lethargic than before along with some brain fog when I first started but subsided about a week after.

 

[Megatron28]

well isn't the proper range supposed to be .3-3.0 recommended 10 years ago put labs refuse to adjust ranges?

That is my understanding as well.

 

[SilverBackGorilla]

What dose did they start you on? I started a few weeks - 60mg. I certainly don't see an improvement and feel like I'm more tired/lethargic than before along with some brain fog when I first started but subsided about a week after.

15mg of Armour to start. Get new bloods in 6 weeks to make adjustments if any.