HGH sleep issues

[400degrees]

About a month in on ugl GH, 4iu every night before bed, 2hrs after dinner. First couple weeks it knocked me out all night. Past couple weeks I've been wide awake at 3am every night. Almost feels like a cortisol spike. Wondering if I should ride it out, switch to am, or if anyone has had the same experience or knows the possible science behind this regarding the gh interactions with prolactin, progesterone or adrenals.

 

[Jin23]

Yeah it did sort out. Thanks for asking.

I've got Hashimoto's and I am pretty sure the TRT/AAS exacerbated the issue (high TSH over 10 for a while; it was hard to control TSH once I started TRT with more standard T4 dosing). I now medicate with 336 mcg/day T4 and 12.5 mcg/day T3. The T4 amount is a whopping dose. Keeps my TSH stable at ~3.

Knock on wood but I haven't had any more AFIB incidents. Good learnings on the interplay of thyroid and AAS that I had to learn the hard way. AFIB can rear is head from being hypothyroid too, not just hyper.

336 mcg that's a fuck load. This brings your tsh down to the 1 - 1.5 range?

 

[readalot]

336 mcg that's a fuck load. This brings your tsh down to the 1 - 1.5 range?

No, about 3 (TSH) for the last year. Finally stable, although anytime I increase AAS dose I gotta check..

I am scared to find the dosing to bring my TSH down to 1, LOL. I tell myself 3 is better for longevity anyway.

 

[readalot]

Thanks for the response. I'm glad you've got it under control. From what I hear, it's really uncomfortable. My Mum is currently on the waiting list for an ablation, so fingers crossed that will sort it for her as it's been years now, and so far, they have just been doing cardioversions, which usually fail within a couple of months.

I hope she gets relief and a full solution soon. Sincerely.

I know it bothers some more than others but it was fucking miserable for me. Long story but it ended up sending me into vtach after I panicked (thanks nandrolone for all wonderful adrenergic overstimulation haha). Paramedics were coding me and about to hit me with adenosine, which is big no no I found out later. Something told me to just sit up and Valsalva and deep breaths and I was able to bring the vtach under control. Was later told I dodged a bullet! 240 quivering BPM does not feel good.

 

[Jin23]

No, about 3 (TSH) for the last year. Finally stable, although anytime I increase AAS dose I gotta check..

I am scared to find the dosing to bring my TSH down to 1, LOL. I tell myself 3 is better for longevity anyway.

Probably not as far away, maybe 380 - 400? You know TSH above 2.0 is positively corelated with serum cortisol levels? 1.5 does seem to be the optimal value to target for ...

 

[Ateam2023]

hgh should improve your sleep, try eating earlier

i disagree 100% ,

 

[readalot]

Probably not as far away, maybe 380 - 400? You know TSH above 2.0 is positively corelated with serum cortisol levels? 1.5 does seem to be the optimal value to target for ...

This would lead us into a fun discussion if you are game. My dose response is not well behaved at all and my autoimmune stuff most likely explains the poor absorption.

There is a nice paper that outlines method to model individual dose response for fT4 vs TSH. I spent some time tracking all my operating points and regimes over 10 years. The issue is I jump from one operating line to another when tracked over time. I'll also experience bursts of thyroid activity periodically as my body kills off my thyroid slowly. So I try to leave some room for that; hence my logic for setpoint of TSH = 3.

Your point about cortisol is a good one and we'll taken. If my TSH continues to behave I may try to fine tune more. So far just trying to ensure my heart stays in good spot. Thanks for the suggestion. The operating line stuff with thyroid would be a great thread. Academic but fun as hell to me.

 

[Lord Commander]

Yeah it did sort out. Thanks for asking.

I've got Hashimoto's and I am pretty sure the TRT/AAS exacerbated the issue (high TSH over 10 for a while; it was hard to control TSH once I started TRT with more standard T4 dosing). I now medicate with 336 mcg/day T4 and 12.5 mcg/day T3. The T4 amount is a whopping dose. Keeps my TSH stable at ~3.

Knock on wood but I haven't had any more AFIB incidents. Good learnings on the interplay of thyroid and AAS that I had to learn the hard way. AFIB can rear is head from being hypothyroid too, not just hyper.

You should probably use more T3 than T4 UNLESS you are already on GH. Clearly you do not have high enough T3 levels and that is why your TSH could be so high.

 

[readalot]

You should probably use more T3 than T4 UNLESS you are already on GH. Clearly you do not have high enough T3 levels and that is why your TSH could be so high.

Was on 150 mcg T4 / 50 mcg of T3 per day when I had AFIB issue. My fT3 was very high and TSH was above 10. So that's not it. Very complex subject matter. Adding more T3 won't always titrate your TSH, especially in deranged patients like me.

Always use at least physiologic ratio of T4 to T3 for treatment unless you know what you are doing.

I advise not to F with high dose T3. Recipe for disaster if you have arrythmia substrate present.

Currently my fT4 and fT3 are top 10 to 25 percentile in range and TSH is still just 3. Please tread carefully with thyroid stuff.

Yout heart has T4 receptors and stuff can and does go bad with T3 monotherapy or skewed T3/T4 treatment ratios.

 

[Lord Commander]

Was on 50 mcg of T3 per day when I had AFIB issue. My fT3 was very high and TSH was above 10.

I advise not to F with high dose T3. Recipe for disaster if you have arrythmia substrate present.

Currently my fT3 and fT3 are top 25 percentile in range and TSH is still just 3. Please tread carefully with thyroid stuff.

Yes i have subclinical hypothyroidism myself so i take 100mcg of T4 daily. Your case sounds weird. Is it common to have high TSH with high T3 with Hashimotos? Sounds like some negative feedback loop is not working correctly...

 

[readalot]

Yes i have subclinical hypothyroidism myself so i take 100mcg of T4 daily. Your case sounds weird. Is it common to have high TSH with high T3 with Hashimotos? Sounds like some negative feedback loop is not working correctly...

Sorry edited and added a bunch of stuff to that post. Yes, my Endos look at me funny. Interesting case I guess. For a while they tried to convince me I wasn't taking my meds everyday lol.