Just got more bloodwork done and I had some questions about optimizing my thyroid levels. I'm currently taking 8iu GH per day with 100mcg T4 taken first thing in the morning and waiting ~10 minutes before taking anything else. Test dose is at 875mg/wk injected daily. The T4 was added because on previous blood work my T4 was low (total was below range, free was at 0.8 at the end of range, T3 free was at bottom of reference range).
Here is my latest blood work, everything is in range now however the free T4 is still at the very low end of the range and the free T3 has only increased from 2.3 to 2.9. Ranges and units are in brackets.
TSH: 1.17 [0.40-4.50 mIU/L]
T4 Total: 5.0 [4.9-10.5 mcg/dL]
T4 Free: 1.0 [0.8-1.8 ng/dL]
T3 Free: 2.9 [2.3-4.2 pg/mL]
Would I benefit from increasing T4 above 100mcg per day?
I'm currently taking 54mg of elemental iron from Ferrous Bisglycinate every morning just to keep my iron and ferritin in range.
Iron Total: 129 [50-180 mcg/dL]
% Saturation: 38 [20-48% calc]
Iron Binding Capacity: 338 [250-425 mcg/dL]
Ferritin: 52 [38-380 ng/mL]
Here is the rest of the standard blood work if anyone sees anything else that needs work. I will say that retatrutide has reduced my LDL cholesterol significantly. I take 5mg of ezetimibe per day and usually my LDL is in the 70s at this dose of test. With 2.1mg of reta per week it dropped to 44. I'm up to 3.5mg per week now and it has dropped to 29! I could drop the ezetimibe and still have ldl below 50, insane. I did not take a break from training before blood work, literally trained the day before so AST and ALT are a little high, GGT is 21 though (3-90 U/L range).
CHOLESTEROL, TOTAL 63 Reference Range: <200 mg/dL
HDL CHOLESTEROL 24 L Reference Range: > OR = 40 mg/dL
TRIGLYCERIDES 35 Reference Range: <150 mg/dL
LDL-CHOLESTEROL 29 mg/dL (calc)
CHOL/HDLC RATIO 2.6 Reference Range: <5.0 (calc)
NON HDL CHOLESTEROL 39 Reference Range: <130 mg/dL (calc)
GLUCOSE 89 Reference Range: 65-99 mg/dL
UREA NITROGEN (BUN) 18 Reference Range: 7-25 mg/dL
CREATININE 1.08 Reference Range: 0.60-1.26 mg/dL
EGFR 91 Reference Range: > OR = 60 mL/min/1.73m2
BUN/CREATININE RATIO SEE NOTE: Reference Range: 6-22 (calc) Not Reported: BUN and Creatinine are within reference range.
SODIUM 138 Reference Range: 135-146 mmol/L
POTASSIUM 4.4 Reference Range: 3.5-5.3 mmol/L
CHLORIDE 102 Reference Range: 98-110 mmol/L
CARBON DIOXIDE 27 Reference Range: 20-32 mmol/L
CALCIUM 9.3 Reference Range: 8.6-10.3 mg/dL
PROTEIN, TOTAL 6.6 Reference Range: 6.1-8.1 g/dL
ALBUMIN 4.0 Reference Range: 3.6-5.1 g/dL
GLOBULIN 2.6 Reference Range: 1.9-3.7 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 1.5 Reference Range: 1.0-2.5 (calc)
BILIRUBIN, TOTAL 0.5 Reference Range: 0.2-1.2 mg/dL
ALKALINE PHOSPHATASE 55 Reference Range: 36-130 U/L
AST 57 H Reference Range: 10-40 U/L
ALT 49 H Reference Range: 9-46 U/L
WHITE BLOOD CELL COUNT 5.2 Reference Range: 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 5.15 Reference Range: 4.20-5.80 Million/uL
HEMOGLOBIN 15.5 Reference Range: 13.2-17.1 g/dL
HEMATOCRIT 47.1 Reference Range: 38.5-50.0 %
MCV 91.5 Reference Range: 80.0-100.0 fL
MCH 30.1 Reference Range: 27.0-33.0 pg
MCHC 32.9 Reference Range: 32.0-36.0 g/dL
RDW 15.2 H Reference Range: 11.0-15.0 %
PLATELET COUNT 320 Reference Range: 140-400 Thousand/uL
MPV 9.3 Reference Range: 7.5-12.5 fL
ABSOLUTE NEUTROPHILS 3567 Reference Range: 1500-7800 cells/uL
ABSOLUTE LYMPHOCYTES 1118 Reference Range: 850-3900 cells/uL
ABSOLUTE MONOCYTES 333 Reference Range: 200-950 cells/uL
ABSOLUTE EOSINOPHILS 151 Reference Range: 15-500 cells/uL
ABSOLUTE BASOPHILS 31 Reference Range: 0-200 cells/uL
NEUTROPHILS 68.6 %
LYMPHOCYTES 21.5 %
MONOCYTES 6.4 %
EOSINOPHILS 2.9 %
BASOPHILS 0.6 %
Thanks for taking the time to look at my blood work.
Here is my latest blood work, everything is in range now however the free T4 is still at the very low end of the range and the free T3 has only increased from 2.3 to 2.9. Ranges and units are in brackets.
TSH: 1.17 [0.40-4.50 mIU/L]
T4 Total: 5.0 [4.9-10.5 mcg/dL]
T4 Free: 1.0 [0.8-1.8 ng/dL]
T3 Free: 2.9 [2.3-4.2 pg/mL]
Would I benefit from increasing T4 above 100mcg per day?
I'm currently taking 54mg of elemental iron from Ferrous Bisglycinate every morning just to keep my iron and ferritin in range.
Iron Total: 129 [50-180 mcg/dL]
% Saturation: 38 [20-48% calc]
Iron Binding Capacity: 338 [250-425 mcg/dL]
Ferritin: 52 [38-380 ng/mL]
Here is the rest of the standard blood work if anyone sees anything else that needs work. I will say that retatrutide has reduced my LDL cholesterol significantly. I take 5mg of ezetimibe per day and usually my LDL is in the 70s at this dose of test. With 2.1mg of reta per week it dropped to 44. I'm up to 3.5mg per week now and it has dropped to 29! I could drop the ezetimibe and still have ldl below 50, insane. I did not take a break from training before blood work, literally trained the day before so AST and ALT are a little high, GGT is 21 though (3-90 U/L range).
CHOLESTEROL, TOTAL 63 Reference Range: <200 mg/dL
HDL CHOLESTEROL 24 L Reference Range: > OR = 40 mg/dL
TRIGLYCERIDES 35 Reference Range: <150 mg/dL
LDL-CHOLESTEROL 29 mg/dL (calc)
CHOL/HDLC RATIO 2.6 Reference Range: <5.0 (calc)
NON HDL CHOLESTEROL 39 Reference Range: <130 mg/dL (calc)
GLUCOSE 89 Reference Range: 65-99 mg/dL
UREA NITROGEN (BUN) 18 Reference Range: 7-25 mg/dL
CREATININE 1.08 Reference Range: 0.60-1.26 mg/dL
EGFR 91 Reference Range: > OR = 60 mL/min/1.73m2
BUN/CREATININE RATIO SEE NOTE: Reference Range: 6-22 (calc) Not Reported: BUN and Creatinine are within reference range.
SODIUM 138 Reference Range: 135-146 mmol/L
POTASSIUM 4.4 Reference Range: 3.5-5.3 mmol/L
CHLORIDE 102 Reference Range: 98-110 mmol/L
CARBON DIOXIDE 27 Reference Range: 20-32 mmol/L
CALCIUM 9.3 Reference Range: 8.6-10.3 mg/dL
PROTEIN, TOTAL 6.6 Reference Range: 6.1-8.1 g/dL
ALBUMIN 4.0 Reference Range: 3.6-5.1 g/dL
GLOBULIN 2.6 Reference Range: 1.9-3.7 g/dL (calc)
ALBUMIN/GLOBULIN RATIO 1.5 Reference Range: 1.0-2.5 (calc)
BILIRUBIN, TOTAL 0.5 Reference Range: 0.2-1.2 mg/dL
ALKALINE PHOSPHATASE 55 Reference Range: 36-130 U/L
AST 57 H Reference Range: 10-40 U/L
ALT 49 H Reference Range: 9-46 U/L
WHITE BLOOD CELL COUNT 5.2 Reference Range: 3.8-10.8 Thousand/uL
RED BLOOD CELL COUNT 5.15 Reference Range: 4.20-5.80 Million/uL
HEMOGLOBIN 15.5 Reference Range: 13.2-17.1 g/dL
HEMATOCRIT 47.1 Reference Range: 38.5-50.0 %
MCV 91.5 Reference Range: 80.0-100.0 fL
MCH 30.1 Reference Range: 27.0-33.0 pg
MCHC 32.9 Reference Range: 32.0-36.0 g/dL
RDW 15.2 H Reference Range: 11.0-15.0 %
PLATELET COUNT 320 Reference Range: 140-400 Thousand/uL
MPV 9.3 Reference Range: 7.5-12.5 fL
ABSOLUTE NEUTROPHILS 3567 Reference Range: 1500-7800 cells/uL
ABSOLUTE LYMPHOCYTES 1118 Reference Range: 850-3900 cells/uL
ABSOLUTE MONOCYTES 333 Reference Range: 200-950 cells/uL
ABSOLUTE EOSINOPHILS 151 Reference Range: 15-500 cells/uL
ABSOLUTE BASOPHILS 31 Reference Range: 0-200 cells/uL
NEUTROPHILS 68.6 %
LYMPHOCYTES 21.5 %
MONOCYTES 6.4 %
EOSINOPHILS 2.9 %
BASOPHILS 0.6 %
Thanks for taking the time to look at my blood work.
