Just got labs done from the doc. My TSH is extremely high and my free t4 is on the lower end of normal ranges.

Just got labs done from the doc. My TSH is extremely high and my free t4 is on the lower end of normal ranges. is there nay way i can get my TSH with in normal ranges with out having to take meds?
some context i have been working out for ten plus years and never controlled my diet, so i have high bf %.

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  1. 10 months ago
    Anonymous

    >high bf %.
    This is fricking your shit up. Fat does all sorts of awful metabolic frickery.

    • 10 months ago
      Anonymous

      every other marker is with in the lower or high end of good ranges. Im not counting it out. Also got my test checked and im at 300 which could be do to the high bf as well.

      • 10 months ago
        Anonymous

        >test checked and im at 300 which could be do to the high bf as well
        Absolutely my dude. Fat is estrogenic.

        • 10 months ago
          Anonymous

          frick mark riptoe.

          What are my options here? Cut down bodyfat then retest in three months. i dont want to take the risk of damaging my thryriod further

          • 10 months ago
            Anonymous

            Cut calories, stay hydrated but don't drink water 2 hours before bedtime, up your protein intake, walk for 20 minutes every day. Give yourself a couple weeks to adjust, and get used to being hungry. If you can, entirely skip dinner and go to bed hungry. Good luck.

            • 10 months ago
              Anonymous

              the only thing that has changed was me walking to try to get more movement. previously my tsh was slightly elevated.

              no, high TSH is almost always a sign of subclinical hypothyroidism. elevated TSH is not healthy for the thyroid (constant stimulation) and can lead to goiter and autoimmunity down the line as well.

              clearly OP's metabolic health isn't optimal if he's obese and has hypogonadal T. fixing his thyroid could help immensely.

              [...]
              doc will probably put you on levothyroxine. i'd suggest you try iodine, selenium and bile salts (TUDCA preferred) to try and get thyroid up to speed naturally. however this can be dangerous if you have autoimmunity, it's also playing with fire to megadose iodine so stick to 1mg max.

              i would like to go about this with out taking meds at all. I know there is a certain point as i age im going to have to but wanna push it back as far as possible. my tsh is 31.50 and free t4 is .9. should i hop on meds then work on diet first then taper off meds or just work on diet from the jump? i know im going to have to talk with doc but i have to get on his ass for basic tests etc and i dont want him to just prescribe me shit and then say im good

              • 10 months ago
                Anonymous

                TSH 31.50 is very high, meds might be an inevitability. TSH precursor TRH is also an active hormone in the body and stimulates the release of prolactin so it's not good to have, thyroid disease risk aside.

                i strongly suggest you make improvements to your diet AND supplement iodine, selenium and TUDCA. these are minerals and bile salts, not medications. at your level of thyroid dysfunction, I would prefer to get these nutrients in controllable excess. do this for a few months then ask your doctor for new tests. if TSH is still sky high you will need to get on some sort of thyroid replacement (either desiccated thyroid or levothyroxine).

                also try to stay pro-metabolic with your dieting and don't overly restrict carbs, do excessive cutting or memes like keto (this will crash thyroid and endocrine system hard, trust me)

              • 10 months ago
                Anonymous

                hmm going over my previous records now and it seems my tsh was at 5.0 previously so those were the warning sings back then. (i had to push my doc as he said that was with in range).

                also im not a young guy anymore(mid 30's). what doasge should i be taking these supps at? i dont want to go overboard with them. what is tudca btw?

              • 10 months ago
                Anonymous

                start low with iodine dose and work up to 1-2mg, don't go beyond this dose if there's no improvement.

                selenium take 200mcg and no more, this is RDA and it's gets toxic fast if you go beyond. you can also eat a couple of brazil nuts a day but pills are honestly cheaper and quicker so it's up to you.

                TUDCA is a bile salt, it doesn't stimulate thyroid hormone production but boosts the conversion of T4 to T3 in the liver quite effectively, allowing you to do more with less. it's also extremely good at regenerating the liver from damage and has some longevity benefits, hence it's frequent use by bodybuilders running toxic orals. start this one at 500mg.

              • 10 months ago
                Anonymous

                Anon thanks very much and i appreciate your time.

          • 10 months ago
            Anonymous

            Get used to being hungry basically
            Your appetite is dictated by your stomach's elasticity
            Being fat, you've stretched it out. Either through eating too much at once or eating too frequently
            Don't replace excess food with excess water. Absolutely stay hydrated, but don't guzzle water to relieve hunger
            You need to physically shrink your stomach
            That will take literally months depending on how fat you are (I think the average is 6-8 weeks)

      • 10 months ago
        Anonymous

        How high is your bf?

        • 10 months ago
          Anonymous

          30%

  2. 10 months ago
    Anonymous

    This is actually optimal for health and longevity unless you’re experiencing symptoms. High TSH with low-normal T4 is classified as subclinical.

    • 10 months ago
      Anonymous

      my tsh is in the 30's and my t4 is in liie .09

    • 10 months ago
      Anonymous

      to add to that my test is around 300

      my tsh is in the 30's and my t4 is in liie .09

    • 10 months ago
      Anonymous

      no, high TSH is almost always a sign of subclinical hypothyroidism. elevated TSH is not healthy for the thyroid (constant stimulation) and can lead to goiter and autoimmunity down the line as well.

      clearly OP's metabolic health isn't optimal if he's obese and has hypogonadal T. fixing his thyroid could help immensely.

      https://i.imgur.com/lmmA2l2.jpg

      Just got labs done from the doc. My TSH is extremely high and my free t4 is on the lower end of normal ranges. is there nay way i can get my TSH with in normal ranges with out having to take meds?
      some context i have been working out for ten plus years and never controlled my diet, so i have high bf %.

      doc will probably put you on levothyroxine. i'd suggest you try iodine, selenium and bile salts (TUDCA preferred) to try and get thyroid up to speed naturally. however this can be dangerous if you have autoimmunity, it's also playing with fire to megadose iodine so stick to 1mg max.

    • 10 months ago
      Anonymous

      >This is actually optimal for health and longevity
      lol
      no

      t, le thyroid man

    • 10 months ago
      Anonymous

      >This is actually optimal for health and longevity unless you’re experiencing symptoms.
      Lmao

  3. 10 months ago
    Anonymous

    ever since i lost weight my wife hasn't once complained or been mad at me
    nature is weird bro
    she loves having sex all of a sudden
    just cut and endure for a year or two and the rest of your life will be good

  4. 10 months ago
    Anonymous

    Stop drinking caffeine/coffee. This is why your TSH is so high. Your HPA axis is fricked up. Your body is signaling to the thyroid to produce hormones, but you're under stress, therefore it's blocked. Take iodine on an empty stomach. Try pure encapsulations potassium iodide (like 225mcg to start). You can use Lugol's 5% if you want more (2 drops=12.5mg - notice the difference between mcg and mg) but order it from their website. Amazon doesn't sell higher than 2%. Picrel is an Amazon review for the 225mcg PE potassium iodide. Trust me on this, I suffered for YEARS and only recently put the puzzle together.

    • 10 months ago
      Anonymous

      >Stop drinking caffeine/coffee
      i did that but switched over to energy drinks monsters and shit like that. frick im a moron i drank an energy drink a day before the test too Would nicotine effect me as well?
      after reading a bit on HPA nic would have an effect as well.

      start low with iodine dose and work up to 1-2mg, don't go beyond this dose if there's no improvement.

      selenium take 200mcg and no more, this is RDA and it's gets toxic fast if you go beyond. you can also eat a couple of brazil nuts a day but pills are honestly cheaper and quicker so it's up to you.

      TUDCA is a bile salt, it doesn't stimulate thyroid hormone production but boosts the conversion of T4 to T3 in the liver quite effectively, allowing you to do more with less. it's also extremely good at regenerating the liver from damage and has some longevity benefits, hence it's frequent use by bodybuilders running toxic orals. start this one at 500mg.

      I had bought some see kelp previously when this shit first came up but never took it because that moron told me im good. its dosed in mcgs. i just took some about 30 min ago and got a hotflash and started sweating. How would i know about improvements with out labs?

      • 10 months ago
        Anonymous

        you should start feeling warmer, more energetic, higher libido, better sleep, higher heart rate and of course begin to lose fat.

        it may be worth checking out ray peat. I'm not suggesting you follow everything they say but their main emphasis is on optimizing thyroid function and you will be able to find tons of info about it on the forums.

        • 10 months ago
          Anonymous

          im going to assume also this will help with my testosterones lever getting into check.

          • 10 months ago
            Anonymous

            yes, T3 plays a direct role in steroidogenesis. when I was hyperthyroid (not fun, don't recommend really) my total T, free T, and E2 were all above the reference range.

            • 10 months ago
              Anonymous

              Yep, I used to do black coffee and cigarettes and I was ripped @145#. It eventually caught up to me, which is why it took me so long to piece everything together - I just figured it was working before, so that couldn't possibly be the case. I leaned heavily on those vices for the last few years, while being more miserable than I've ever been in my life. I had gained 50# despite barely eating and certainly eating less than I ever did when I was lean. It was impossible to lose weight, and I tried everything. Keep in mind I was coming from a place of having been fit since mid high school so I knew what worked for my body. My advice (if you lean emotionally on stimulants) would be this: try cutting both those things out for a week and see how you feel with the added iodine. Don't tell yourself you can't have them ever again, but once you start to feel good, you may very well not want them anymore anyway.

              should i hold my doc off while i start supplementation, whats my time line like here since im at the extreme upper levels(51.50). retest in three months or wait a month

              • 10 months ago
                Anonymous

                wait a month

              • 10 months ago
                Anonymous

                Dunno, I'm not a fan of doctors personally, but I can't tell you what to do. Extrapolating a bit here from the timeline on that Amazon review - start small, but if you increased the dosage, theoretically you could right yourself quicker. Stick with the kelp for now though and see how you feel.

          • 10 months ago
            Anonymous

            100%
            Fixing the stress will too - adrenals produce DHEA which is a test precursor

        • 10 months ago
          Anonymous

          kek, im already getting a hard on after an hour. Thanks anon

      • 10 months ago
        Anonymous

        Yep, I used to do black coffee and cigarettes and I was ripped @145#. It eventually caught up to me, which is why it took me so long to piece everything together - I just figured it was working before, so that couldn't possibly be the case. I leaned heavily on those vices for the last few years, while being more miserable than I've ever been in my life. I had gained 50# despite barely eating and certainly eating less than I ever did when I was lean. It was impossible to lose weight, and I tried everything. Keep in mind I was coming from a place of having been fit since mid high school so I knew what worked for my body. My advice (if you lean emotionally on stimulants) would be this: try cutting both those things out for a week and see how you feel with the added iodine. Don't tell yourself you can't have them ever again, but once you start to feel good, you may very well not want them anymore anyway.

        • 10 months ago
          Anonymous

          >if you lean emotionally on stimulants)
          this is an issue for me. i take them to feel happy and to take a shit( i guess my constipation issues is part of tsh)

          100%
          Fixing the stress will too - adrenals produce DHEA which is a test precursor

          the stress thing will be hard. I got dumped about a year ago and at the same time lost about 2mill fricking around in the stock market.

          • 10 months ago
            Anonymous

            Yep, the whole thing caused unrelenting anhedonia for me so I leaned on caffeine and cigarettes for dopamine.

          • 10 months ago
            Anonymous

            I'm kinda a newbie here so I don't know the proto on personal information, but if you want someone to help you, I'd be more than willing. I don't have any fricking friends anymore anyway 🙁

            • 10 months ago
              Anonymous

              sure, im dont go outside much my self

              • 10 months ago
                Anonymous

                Email or what?

              • 10 months ago
                Anonymous

                i can make a ten min mail then we can exchange info on that. i have to use discord for my "job"

                [email protected]

              • 10 months ago
                Anonymous

                sent you one back

              • 10 months ago
                Anonymous

                Damn didn't get anything and didn't look like it got filtered. I sent the initial from my Gmail anyway. Address started with an 'o'.

              • 10 months ago
                Anonymous

                yah i sent it you back from a more official email

  5. 10 months ago
    Anonymous

    Piggybacking, I recently took a hormone blood test, nothing was outside the ~~*reference range*~~ but LH, FSH, total T, free T and E2 were all near the bottom while prolactin was near the top. Total T was 300 whereas for the last two years it was 450. I'm 29. I have improved my lifestyle since the previous tests so I was expecting better numbers, not worse. Should I be concerned? Do the low LH and FSH suggest pituitary problems?
    After reading the thread I've ordered a thyroid test as I do have family history of hypothyroidism.
    I had a physical last year and everything was fine except my cholesterol was slightly high; I had hormones, liver, kidneys and some vitamins checked and all was fine. I thought 450 was a bit low for T but not terrible.

    • 10 months ago
      Anonymous

      wait for a thyroid test before doing anything, this sounds like hypothyroidism.

      prolactin at the top of the ref range sucks but it's not really an issue unless it stays consistently elevated. when it was 2.5x the ref range was when I felt depressed and my dick didn't work and that's when I did low dose caber for a while to bring it under control. you could try p5p, 50-200mg a day and see how it goes. there's no evidence of neurotoxicity with this active form of B6 but if you do feel any neuropathy then just stop it asap.

      • 10 months ago
        Anonymous

        Not sure, but I can tell you everyone needs iodine, especially (obviously) people that are hypothyroid. My advice on diet is cranking up the salt/fat, throw in some iodine and get some sun for vitamin d. You don't have to be super strict with your diet, just get plenty of animal products in. Check this guy out, Cole Robinson, who's a big fasting advocate. He's eating nothing but goyslop for 30 days in his documentary and his blood work is fantastic.

        Thanks, I'll wait for the thyroid test then start supplementing iodine. I think my diet is pretty good but I am carrying a fair bit of extra fat (20%ish, started cut on monday) and I drink quite a lot of beer (homebrew) which I'll reduce. Vit D should be fine, I did 30k IU for a week (now down to 3k) and I have a tan from walking around outside.

    • 10 months ago
      Anonymous

      Not sure, but I can tell you everyone needs iodine, especially (obviously) people that are hypothyroid. My advice on diet is cranking up the salt/fat, throw in some iodine and get some sun for vitamin d. You don't have to be super strict with your diet, just get plenty of animal products in. Check this guy out, Cole Robinson, who's a big fasting advocate. He's eating nothing but goyslop for 30 days in his documentary and his blood work is fantastic.

  6. 10 months ago
    Anonymous

    Not OP but:
    >Calc Free Testosterone: 61.3 PG/ML(Range: 47.0 - 244.0)
    >Sex Horm Bind Globulin: 45.0 NMOL/L (Range: 16.5 - 55.9)
    >Testosterone: 371 NG/DL (Range: 300 - 890)
    Nothing worse than being low in normal range.
    <15% bodyfat, work out 3x with weights and 3x light cardio a week.

  7. 10 months ago
    Anonymous

    Just take levothyroxine ya goof its like $3 and doesn't have any side effects. You should immediately feel better too. Its fricking your joints as we speak. I waited too long for mine and am still dealing with tendon issues etc.

    • 10 months ago
      Anonymous

      I dont wanna have to be in a spot where i cant get meds. Im going to try and supplement with iodine

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