Very slow metabolism (clinically tested)

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  • psychod787
    psychod787 Posts: 4,099 Member
    Psychgrrl wrote: »
    joeymattluke wrote: »
    Thank you all for your insight and advice. I truly appreciate it. I’m really at a place where other perspective is helpful (mostly). The nutritionist and I have only had 1 meeting and 1 phone call since results from the RMR. I have consulted my dr numerous times, ending with me in tears because she just wants to hand over anti depressants rather than help me problem solve. I feel there is something underlying, hence me asking for endocrinologist referral. The thyroid numbers being “normal” has been frustrating because of everything I read that says normal is not necessarily normal but getting a doctor to help is hard when all she wants to look at is the lab result only.
    Honestly- I’m not looking for someone to baby me, or to act like I’m an “air fern”, just looking for advice from more experienced people. I posted for help, so thank you to those who had advice and wisdom.
    😎

    If you don't mind my asking, what is your lab/doctor saying is "normal?" While "normal" TSH (Thyroid Stimulating Hormone) used to be .05-5, the upper limit has been dropped to a 3 by the American Association of Clinical Endocrinologists. Many doctors offices/labs are still using different standards. Always get the number, not just the judgement about the number. And there's a normal range for a reason. Maybe to alleviate symptoms you need to be at a different point in the range. Also, TSH is not the complete picture. (Free) T4 and (Free) T3 play a role. The body typically converts T4 to T3, but mine does not, and I have hypothyroidism and supplement both a T4 and T3. Being "normal" does not mean symptom free. There is something to be said for quality of life. Which you deserve.

    Hang in there!

    May I as? Was your t3 conversation issue pre or post weightloss?
  • joeymattluke
    joeymattluke Posts: 13 Member
    @psychod787 - I’ve been questioning my thyroid for years and I pushed for a dietician / endocrinologist referral. It keeps fluctuating and I have a family history of Hashimoto and sojourns and I would like to get it in control now if there is an issue. I have a lot of the other signs as well... but when my family dr says “normal” she just refuses to do more.
  • CSARdiver
    CSARdiver Posts: 6,252 Member
    joeymattluke wrote: »
    @psychod787 - I’ve been questioning my thyroid for years and I pushed for a dietician / endocrinologist referral. It keeps fluctuating and I have a family history of Hashimoto and sojourns and I would like to get it in control now if there is an issue. I have a lot of the other signs as well... but when my family dr says “normal” she just refuses to do more.

    Find a new physician. Having a solid honest conversation with a trusted medical professional is critical.

    Is this just based on TSH or was a full thyroid panel conducted?

    Testing hormones is a tricky business as these are free cycling through the body, so multiple readings are needed over time for a proper analysis. As these are free cycling you'll find that results will be outside optimal ranges due to weight fluctuations. One cannot maintain hormonal balance and be overweight - this creates a massive strain on the endocrine system as it attempts to push out hormones intended for a healthy BMI, but now has to work whatever percent harder to keep up.
  • psychod787
    psychod787 Posts: 4,099 Member
    CSARdiver wrote: »
    joeymattluke wrote: »
    @psychod787 - I’ve been questioning my thyroid for years and I pushed for a dietician / endocrinologist referral. It keeps fluctuating and I have a family history of Hashimoto and sojourns and I would like to get it in control now if there is an issue. I have a lot of the other signs as well... but when my family dr says “normal” she just refuses to do more.

    Find a new physician. Having a solid honest conversation with a trusted medical professional is critical.

    Is this just based on TSH or was a full thyroid panel conducted?

    Testing hormones is a tricky business as these are free cycling through the body, so multiple readings are needed over time for a proper analysis. As these are free cycling you'll find that results will be outside optimal ranges due to weight fluctuations. One cannot maintain hormonal balance and be overweight - this creates a massive strain on the endocrine system as it attempts to push out hormones intended for a healthy BMI, but now has to work whatever percent harder to keep up.

    Well, the reason I asked about the t3 conversation is, there are some study's that show t3 conversation drops after weight loss. Aka... controls starvation.
  • CSARdiver
    CSARdiver Posts: 6,252 Member
    psychod787 wrote: »
    CSARdiver wrote: »
    joeymattluke wrote: »
    @psychod787 - I’ve been questioning my thyroid for years and I pushed for a dietician / endocrinologist referral. It keeps fluctuating and I have a family history of Hashimoto and sojourns and I would like to get it in control now if there is an issue. I have a lot of the other signs as well... but when my family dr says “normal” she just refuses to do more.

    Find a new physician. Having a solid honest conversation with a trusted medical professional is critical.

    Is this just based on TSH or was a full thyroid panel conducted?

    Testing hormones is a tricky business as these are free cycling through the body, so multiple readings are needed over time for a proper analysis. As these are free cycling you'll find that results will be outside optimal ranges due to weight fluctuations. One cannot maintain hormonal balance and be overweight - this creates a massive strain on the endocrine system as it attempts to push out hormones intended for a healthy BMI, but now has to work whatever percent harder to keep up.

    Well, the reason I asked about the t3 conversation is, there are some study's that show t3 conversation drops after weight loss. Aka... controls starvation.

    T3 should rise and fall proportional to mass. Chronic inflammation (caused by obesity) has a dramatic impact of T4 to T3 conversion, which will rarely be detected by one test or by anyone other than an endocrine specialist.

    For a proper analysis you would have to review the full thyroid panel - TSH, T4, T3, rT3 and several data points over time.

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