Hey Team,
I'm asking this for a relative. I've been pestering them to get their test checked for a while because I had my suspicions. Lo and behold he has low low low test. (reference range is 8-29, he is 8.6, I forget the units but doesn't matter).
Doctor prescribed him TRT. Doc prescribed 200mg Test-e Every 2 weeks. We all know this is an absolutely idiotic protocol but w.e, I'm urging him to get it revised to at least once a week injections at minimum.
He's pretty excited to get started and hopefully clear up all of these LOW t sides he has. Anyway interesting thing that came up on the blood panel was that TSH was also quite high. (I'll get exact numbers soon but it wasn't just marginally out of range).
He will be getting T3/T4 tested on next panel.
I'm asking from your more experienced folk here what the relationship between high TSH and low Test could be? The reason this is important is because if there is an underlying cause for his low t, he rather treat that problem rather than hop on TRT as a band-aid solution.
What else should he be looking at? What pieces of the puzzle may we not be considering.
Side note is he lives a very sedentary life style due to back problems. Can't really exercise if he wanted too. Not obese but has a dad-bod for sure. His wife is a vegetarian so he probably doesn't eat as much animal meat as he should to accommodate family meals. Works from an office chair all day. There is a history of thyroid issues in the female side of my family.
Paging @Peter Akara
I'm asking this for a relative. I've been pestering them to get their test checked for a while because I had my suspicions. Lo and behold he has low low low test. (reference range is 8-29, he is 8.6, I forget the units but doesn't matter).
Doctor prescribed him TRT. Doc prescribed 200mg Test-e Every 2 weeks. We all know this is an absolutely idiotic protocol but w.e, I'm urging him to get it revised to at least once a week injections at minimum.
He's pretty excited to get started and hopefully clear up all of these LOW t sides he has. Anyway interesting thing that came up on the blood panel was that TSH was also quite high. (I'll get exact numbers soon but it wasn't just marginally out of range).
He will be getting T3/T4 tested on next panel.
I'm asking from your more experienced folk here what the relationship between high TSH and low Test could be? The reason this is important is because if there is an underlying cause for his low t, he rather treat that problem rather than hop on TRT as a band-aid solution.
What else should he be looking at? What pieces of the puzzle may we not be considering.
Side note is he lives a very sedentary life style due to back problems. Can't really exercise if he wanted too. Not obese but has a dad-bod for sure. His wife is a vegetarian so he probably doesn't eat as much animal meat as he should to accommodate family meals. Works from an office chair all day. There is a history of thyroid issues in the female side of my family.
Paging @Peter Akara