Thyroid Problems

[Yannick96]

TSH is 0,52 mU/l
FT4 is 10,6 ng/l
FT3 is 2,55 ng/l
Compared to my blood work years ago my FT3 levels were way higher, now I have symptoms : cold sensitivity, fatigue, anhedonia and overall not feeling any emotion), dry and thinner hair, poor blood circulation. Do you know how to fix this ? Or should I just start taking T4 and T3 ?

 

[Donvitosharkone]

TSH is 0,52 mU/l
FT4 is 10,6 ng/l
FT3 is 2,55 ng/l
Compared to my blood work years ago my FT3 levels were way higher, now I have symptoms : cold sensitivity, fatigue, anhedonia and overall not feeling any emotion), dry and thinner hair, poor blood circulation. Do you know how to fix this ? Or should I just start taking T4 and T3 ?

I wouldn’t jump straight to T3/T4 from those numbers alone, brother.

Thyroid values need context. Current calories, size and duration of any deficit, body fat, recent weight loss, training/cardio load, sleep, stress and medications/PEDs can all change the picture. FT3 being lower than it was years ago doesn’t automatically mean your thyroid is failing.

The symptoms matter, but they’re also very nonspecific. Before trying to “fix” the lab with thyroid hormones, I’d want to know your current diet, weight/height, recent weight trend, training/cardio, PEDs/medications and ideally see the previous thyroid bloodwork you’re comparing this against.

Give us that context first. Otherwise we’re treating three numbers instead of the person.

Shark

 

[SalvatoreCorvus]

Give us that context first.

Yes you're right.

The context can change everything in the choice of solution.

 

[Yannick96]

I wouldn’t jump straight to T3/T4 from those numbers alone, brother.

Thyroid values need context. Current calories, size and duration of any deficit, body fat, recent weight loss, training/cardio load, sleep, stress and medications/PEDs can all change the picture. FT3 being lower than it was years ago doesn’t automatically mean your thyroid is failing.

The symptoms matter, but they’re also very nonspecific. Before trying to “fix” the lab with thyroid hormones, I’d want to know your current diet, weight/height, recent weight trend, training/cardio, PEDs/medications and ideally see the previous thyroid bloodwork you’re comparing this against.

Give us that context first. Otherwise we’re treating three numbers instead of the person.

I wouldn’t jump straight to T3/T4 from those numbers alone, brother.

Thyroid values need context. Current calories, size and duration of any deficit, body fat, recent weight loss, training/cardio load, sleep, stress and medications/PEDs can all change the picture. FT3 being lower than it was years ago doesn’t automatically mean your thyroid is failing.

The symptoms matter, but they’re also very nonspecific. Before trying to “fix” the lab with thyroid hormones, I’d want to know your current diet, weight/height, recent weight trend, training/cardio, PEDs/medications and ideally see the previous thyroid bloodwork you’re comparing this against.

Give us that context first. Otherwise we’re treating three numbers instead of the person.

Shark

I'm 178cm 82kg, 14% body fat
In the past 4 months I lost 4kg
I do Upper Body 3 times per week
Lower Body twice per week
I dow very low Volume
I don't do much cardio, just walking, playing some table tennis, sex etc
I take 120mg Testosterone Cypionate twice per week
So the first blood work is from 2024 and surprisingly at the time of the blood work I didn't sleep much and I was 72kg on a diet
And now I sleep way more and eat more but with lower FT3 levels, it doesn't make sense.
FT3 from 2024 : 4,2pg/ml
FT3 now : 2,55 ng/l

 

[Ctf345]

TSH is 0,52 mU/l
FT4 is 10,6 ng/l
FT3 is 2,55 ng/l
Compared to my blood work years ago my FT3 levels were way higher, now I have symptoms : cold sensitivity, fatigue, anhedonia and overall not feeling any emotion), dry and thinner hair, poor blood circulation. Do you know how to fix this ? Or should I just start taking T4 and T3 ?

Go see an endo. It could have different reasons why your values are like that, and they can rule out stuff like Hashimotos.
If they figure out your dosage, and that has to be checked with regular follow up bloodwork, you can just use whatever you need for it.

They even might figure out you have a T4 to T3 conversion issue, then you get a combination medication. But I'd check it with a doctor if I were you, because it could have some more serious reasons on why your blood work looks like this, especially when you have symptoms.

 

[Yannick96]

Go see an endo. It could have different reasons why your values are like that, and they can rule out stuff like Hashimotos.
If they figure out your dosage, and that has to be checked with regular follow up bloodwork, you can just use whatever you need for it.

They even might figure out you have a T4 to T3 conversion issue, then you get a combination medication. But I'd check it with a doctor if I were you, because it could have some more serious reasons on why your blood work looks like this, especially when you have symptoms.

The doctor did a MRI like a photo of my Thyroid she said it's completely normal and she doesn't want do prescribe me T4 or T3

 

[Ctf345]

Your doctor is a retard. Go to another one.
I had to go to 3 different doctors to get TRT even if my levels were below the therapeutic threshold.

 

[Falcon]

Have you have your adrenal hormones checked? And rT3? Because these numbers in themselves don't look bad.

 

[The Mentor]

The doctor did a MRI like a photo of my Thyroid she said it's completely normal and she doesn't want do prescribe me T4 or T3

You’re looking for the problem in all the wrong places.

What’s your carb intake looking like? What supps are you taking right now?

I don’t get guys who jump straight to exogenous T3 when they should be working on conversion instead. Did you guys nuke your thyroids with tren and GH overdoses or what?

Throw in any decent complex for a bit that has zinc, selenium, and iodine (no more than 150mcg). Also, check what’s going on with your ferritin. And don’t sleep on liver glycogen.

 

[Yannick96]

You’re looking for the problem in all the wrong places.

What’s your carb intake looking like? What supps are you taking right now?

I don’t get guys who jump straight to exogenous T3 when they should be working on conversion instead. Did you guys nuke your thyroids with tren and GH overdoses or what?

Throw in any decent complex for a bit that has zinc, selenium, and iodine (no more than 150mcg). Also, check what’s going on with your ferritin. And don’t sleep on liver glycogen.

Nah I never took tren or hgh only Testosterone, I eat more than enough carbs, I take selenium, iodine and zinc since 2 weeks nothing changed and my ferritin is very high

 

[The Mentor]

Nah I never took tren or hgh only Testosterone, I eat more than enough carbs, I take selenium, iodine and zinc since 2 weeks nothing changed and my ferritin is very high

You mentioned your FT3 earlier as 4.2 pg/mL vs 2.55 ng/L. Those are two completely different units of measurement from two different labs. Look at your latest panel: your FT3 sits right in the middle of the reference range, and your FT4 is up near the top. There isn't even a hint of a reason to jump on thyroid hormones here.

Outside of the thyroid, we have an entire endocrine system, sex hormones, and a nervous system - maybe that's where you need to look for the root cause of feeling like sh*t? If that slightly suppressed TSH is bothering you, it's very often just the aftermath of a cut, high cortisol, or something else you haven’t mentioned here yet. It still doesn't point to taking T3 or T4.

Moving on... "more than enough carbs" - how much is that exactly? What are your actual doses for zinc, selenium, and iodine? Neither hormone conversion nor tissue sensitivity fixes itself in two weeks.

Also, you claimed your ferritin is "very high" but where are the actual numbers? With the bloodwork you actually posted, high ferritin would signal systemic inflammation at best. And if ferritin were truly high, why is your MCHC low and your red blood cells underloaded with hemoglobin?

Fact is, Ferritin isn't even listed anywhere in the attachments you provided. You have elevated Serum Iron and high Transferrin Saturation, but Serum Iron is not Ferritin - it fluctuates daily based on your last few meals.

Give me one valid argument for starting thyroid hormones in this specific case, or let's circle back to your actual context and full lifestyle history. I already have a pretty good idea of where the issue really is... but we need full transparency here to figure it out properly.