Men's Health Forum: This is a discussion on New protocol from doctor...need thoughts within the Anabolic Steroids forums, part of the extensive steroid information at MESO-Rx; Ok so I am a 23 year old guy who has had a ton of anxiety, fatigue, brain fog for ...
Ok so I am a 23 year old guy who has had a ton of anxiety, fatigue, brain fog for the past 3 years. Blood tests showed low T, subclinical hypothyroidism, with nodules. After some bad docs I have a new primary care physician who while not really knowledgable about HRT, he receives HRT from an anti-aging doc in the area who is! He refers me to him.
This guy looks at my tests and suggests:
An MRI to see if I have any pituitary issues...we have it scheduled for this coming Wednesday.
Also has me doing an salivary test for my cortisol, which will take a few weeks to get the results back.
In the meantime wants to start treatment with:
Says t3/t4 ratio is screwed up, switches me from synthroid to armour. Having trouble tolerating the armour dose right now, however, so I need to touch base with him on that.
Says estradiol is slightly high, puts me on .5 mg of arimidex M/W/F
Says you can do either test or HcG, but recommends HcG for fertility. I agree.
Has me on 2,000 IU's of HcG self injected SubQ 2 x per week.
I am 3 days in and feel pretty crappy, due to the overdose of armour me thinks. Otherwise I am optomistic but a little scared.
There are so many absurd and ridiculous treatments mentioned in your post. I really do not know where to begin. For starters, I can almost guarantee you do not need an MRI. This is the most common and at times devastating mistake of physicians. Are you having visual problems? severe headaches? elevated prolactin?
What are your labs? For brevity, LH, FSH, Prolactin, T (total), E2, and TSH.
Is fertility a concern? Are you infertile?
In my opinion, you are being mistreated (possibly more).
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Last edited by Michael Scally MD; 12-06-2009 at 06:10 PM.
There are so many absurd and ridiculous treatments mentioned in your post. I really do not know where to begin. For starters, I can almost guarantee you do not need an MRI. This is the most common and at times devastating mistake of physicians. Are you having visual problems? severe headaches? elevated prolactin?
What are your labs? For brevity, LH, FSH, Prolactin, T (total), E2, and TSH.
Is fertility a concern? Are you infertile?
In my opinion, you are being mistreated (possibly more).
Why would an MRI be devastating?
No visual problems, and a normal prolactin. Both him and my PCP agree a normal prolactin w/ my below normal FSH cannot rule out an adenoma or anything similar.
I do not have my labs handy but normal LH, Low FSH (1.1), T Total around 300, e2 at 25.
Here are my labs on 75 mcg of Synthroid.
TSH: 1.06 (.04-4.0)
Total T4: 9.84 (4.5 - 12.5 ug/dl)
Free T4: 1.99 (.9-1.9 ng/dl)
Free T3. 3.04 ( 1.5-4.1 pg/ml)
TPO Ab <10.0 (<35 IU/mi)
IGF I 302 ng/ml (116-358)
Without any synthroid my TSH is anywhere from 3.00 to 5.00, but my endo was originally subscribing the synthroid for control of my thyroid nodules. However, with the synthroid my fatigue dimished, and my freezing cold hands and feet warmed up substantially. I am negative for auto-immune thyroid antibodies.
At this point I must agree with the hypopituitary hypothesis that they seem to be pursuing.
Fertility is not an issue now, but I don't want to be infertile, as I don't have any kids yet and one day may want some.
Please elaborate with your point, I am very interested in hearing what you have to say.
Last edited by CubbieBlue; 12-06-2009 at 07:52 PM.
Are they going to do a needle biopsy on the thyroid nodules? They wont affect the function but sometimes are cancer. Mine were and I needed a complete thyroidectomy. Also how much armour did he start you with? I was on synthroid only as well but the Dr reduced it and added Cytomel. The Cytomel has been an adjustment due to over stimulation and a raise in blod pressure for a few days after upping the dose. What side effects are you having from the Armour?
I have not had a biopsy. It is a multi-nodular goiter, very small. I asked my original endo about a biopsy and he said no need. Perhaps I will ask my new PCP what he thinks.
Yeah, same side effects. Over stimulation. I took less today and the side effects were less severe.
Ok so I am a 23 year old guy who has had a ton of anxiety, fatigue, brain fog for the past 3 years. Blood tests showed low T, subclinical hypothyroidism, with nodules. After some bad docs I have a new primary care physician who while not really knowledgable about HRT, he receives HRT from an anti-aging doc in the area who is! He refers me to him.
This guy looks at my tests and suggests:
An MRI to see if I have any pituitary issues...we have it scheduled for this coming Wednesday.
Also has me doing an salivary test for my cortisol, which will take a few weeks to get the results back.
In the meantime wants to start treatment with:
Says t3/t4 ratio is screwed up, switches me from synthroid to armour. Having trouble tolerating the armour dose right now, however, so I need to touch base with him on that.
Says estradiol is slightly high, puts me on .5 mg of arimidex M/W/F
Says you can do either test or HcG, but recommends HcG for fertility. I agree.
Has me on 2,000 IU's of HcG self injected SubQ 2 x per week.
I am 3 days in and feel pretty crappy, due to the overdose of armour me thinks. Otherwise I am optomistic but a little scared.
What does everyone think with this regimen?
Thanks everyone.
Most likely the armour is putting stress to your adenals which causing you to crash.
23 years old does not use hcg first off the bad but rather clomid to see if you are primary or secondary.
Your Dr is not trained properly in HRt and is putting you into a dangerous position IMO
IF you are in the northeast of the USA please feel free to contact me to make an appointment to get proper care because this guy has not a clue of what he is doing.
first of all Anti aging clinic should be a red flag to begin with and run as fast as you can.
__________________
Please keep in mind that this answer is for information purposes only,
and is not intended to diagnose, treat or replace sound medical advice
from your physician or health care provider.
Dr's tend to look at the symptoms and rarely examine the cause.
I am available for phone consultations that may help shed new light and put yourself back on the pathway to wellness once again.
I'll tell you whats devastating.... It would be devastating if BC/BS knew any more than they already do and realized he is just getting another unit over to the hospital to make his quota for kickback. And we wonder why medical costs are so high....
Seriously, Seems to me he is just being cautious that there are no physical brain abnormalities considering there are already some found on the thryroid. Or is he simply looking at the thyroid to determine the extent of physical abnormality with growths already evident in physical exam? Is he scanning both?
On your current protocol. Can someone please tell me what is wrong with the numbers? I would like to understand the thyroid better... Regarding that protocol. How long have you been on it? If it does have your numbers in line, has it been long enough to expect a change in T hopefully resulting?
Also, normal LH and Low FSH??? Shouldn't you be on HMG and not HCG. Perhaps he is waiting to see how one thing stimulates another in treatment sequence?...?
Quote:
Originally Posted by CubbieBlue
Why would an MRI be devastating?
No visual problems, and a normal prolactin. Both him and my PCP agree a normal prolactin w/ my below normal FSH cannot rule out an adenoma or anything similar.
I do not have my labs handy but normal LH, Low FSH (1.1), T Total around 300, e2 at 25.
Here are my labs on 75 mcg of Synthroid.
TSH: 1.06 (.04-4.0)
Total T4: 9.84 (4.5 - 12.5 ug/dl)
Free T4: 1.99 (.9-1.9 ng/dl)
Free T3. 3.04 ( 1.5-4.1 pg/ml)
TPO Ab <10.0 (<35 IU/mi)
IGF I 302 ng/ml (116-358)
Without any synthroid my TSH is anywhere from 3.00 to 5.00, but my endo was originally subscribing the synthroid for control of my thyroid nodules. However, with the synthroid my fatigue dimished, and my freezing cold hands and feet warmed up substantially. I am negative for auto-immune thyroid antibodies.
At this point I must agree with the hypopituitary hypothesis that they seem to be pursuing.
Fertility is not an issue now, but I don't want to be infertile, as I don't have any kids yet and one day may want some.
Please elaborate with your point, I am very interested in hearing what you have to say.
No visual problems, and a normal prolactin. Both him and my PCP agree a normal prolactin w/ my below normal FSH cannot rule out an adenoma or anything similar.
I do not have my labs handy but normal LH, Low FSH (1.1), T Total around 300, e2 at 25.
Here are my labs on 75 mcg of Synthroid.
TSH: 1.06 (.04-4.0)
Total T4: 9.84 (4.5 - 12.5 ug/dl)
Free T4: 1.99 (.9-1.9 ng/dl)
Free T3. 3.04 ( 1.5-4.1 pg/ml)
TPO Ab <10.0 (<35 IU/mi)
IGF I 302 ng/ml (116-358)
Without any synthroid my TSH is anywhere from 3.00 to 5.00, but my endo was originally subscribing the synthroid for control of my thyroid nodules. However, with the synthroid my fatigue dimished, and my freezing cold hands and feet warmed up substantially. I am negative for auto-immune thyroid antibodies.
At this point I must agree with the hypopituitary hypothesis that they seem to be pursuing.
Fertility is not an issue now, but I don't want to be infertile, as I don't have any kids yet and one day may want some.
Please elaborate with your point, I am very interested in hearing what you have to say.
TSH is still too high on thyroid meds ..means that your adrenals are over worked and most likely your rt3 are being elevated as well especailly from t4 only meds.
__________________
Please keep in mind that this answer is for information purposes only,
and is not intended to diagnose, treat or replace sound medical advice
from your physician or health care provider.
Dr's tend to look at the symptoms and rarely examine the cause.
I am available for phone consultations that may help shed new light and put yourself back on the pathway to wellness once again.
New protocol from doctor...need thoughts 
. 
And we wonder why medical costs are so high....
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