What is the cause of my low T?

Alright. Doc isnt OKing ultrasound, which means i'm gonna have to pay out of pocket. Just wondering...how likely is the T issue to be caused by thyroid? Thinking of holding off on the thyroid ultrasound, start with HCG first and see if that fixes things. Would there be any downside to starting an HPTA program with underperforming thyroids?
 
Alright. Doc isnt OKing ultrasound, which means i'm gonna have to pay out of pocket. Just wondering...how likely is the T issue to be caused by thyroid? Thinking of holding off on the thyroid ultrasound, start with HCG first and see if that fixes things. Would there be any downside to starting an HPTA program with underperforming thyroids?

If you fix the T issue, but the cause was your thyroid - you'll likely stop investigating. If there's a tumor (not trying to scare you), you may want to know about it. I'm really surprised that they wouldn't want to look at it given your nutty TSH compared to T3/FT3.

Oh wait, I forgot - good endocrinologists are crazy rare.

Other than that, try to restore your HPTA by all means. Maybe the thyroid is a casualty, not the culprit in this case. :)
 
If you fix the T issue, but the cause was your thyroid - you'll likely stop investigating. If there's a tumor (not trying to scare you), you may want to know about it. I'm really surprised that they wouldn't want to look at it given your nutty TSH compared to T3/FT3.

Oh wait, I forgot - good endocrinologists are crazy rare.

Other than that, try to restore your HPTA by all means. Maybe the thyroid is a casualty, not the culprit in this case. :)

If the culprit is indeed the thyroids, would HTPA therapy bring things back to normal with the thyroids, hence "masking" the issue? Or would it not effect the thyroids if it is a not a "casualty" (victim), like you said?
 
If the culprit is indeed the thyroids, would HTPA therapy bring things back to normal with the thyroids, hence "masking" the issue? Or would it not effect the thyroids if it is a not a "casualty" (victim), like you said?

It could restore your testosterone, yes - but likely only while on therapy. Your thyroid values would likely worsen over time, but please bear in mind I'm not a doctor - so this is purely speculation. :)
 
You might not have hashi's but... the depressing part is finding a doc who will treat it. They might put you on T4 meds, which work for some. NDT is a better treatment option.
 
Ok. Done a little research and im looking at 2 HPTA restart protocols:

1. A restart attempt with HCG only.

2. A restart attempt with SERM only.

3. A restart attempt which starts with HCG and ends with SERM.


Method 1: HCG 250iu eod for 5 weeks.

Method 2: Nolva 20mg eod for 5 weeks (then taper off).

Method 3: Start with method 1 and if restart was successful, do method 2.

Will be using AI throughout.

What do you guys think? Opinions?
 
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