Help With My Thyroid Panel

[LowerEastGuy]

Hi all - new to the forum here. 30 year old male - in shape, don't smoke. I've been tracking my bloodwork for years but only recently thought to look into hypothyroidism.

My symptons:
- Occasional low energy and fatigue symptoms - waking up tired
- brain fog on and off
- Frequently feeling cold - blue/purplish nails
- Hair loss (male pattern balding)

I've cycled low carb / Paleo diets for years, which have been great for weight loss but may have also contributed to slowing metabolism. I'm now consuming plenty of carbs - mostly from potatoes, sweet potatoes, white rice, and fruit / honey - trying to generally limit gluten and dairy. Eating red meat and plenty of fat has never been an issue for me.

FWIW, no GP has ever flagged thyroid (or really anything else) as a health issue but I have very little confidence in the medical establishment.

Here are all of my thyroid results over time:
2013 --> 2015 --> Nov 2017

TSH: 2.26 --> 2.15 --> 2.09
T4: 7.3 --> 7.7 --> 5.8 (has dropped between 2015 and 2017)
Free T4: 1.14 --> 1.26 --> 0.96
Free T4 index: 2.5 --> 2.6 --> Not taken in 2017
T3: 109 --> 109 --> 90
T3 uptake: 33.6 --> 34.1 --> 29

TPO antibodies: 16 (only taken in Nov 2017 at my insistence)
Thyroglobulin Antibody: <1.0

Also been tracking body temp and pulse over the last 3 days. Here is the average:
Morning pulse: 60
Morning temp: 97.4
Afternoon temp: 98.4

Does anyone see any potential issues with these results and, if so, how should I go about treating?

Also happy to provide vitamin/mineral levels over time if helpful. My vitamin D levels were chronically low in 2013/2015 but are finally above 45. Selenium levels were 98-103 in 2013/2015 but haven't been measured recently. Anything else?

Thanks!

 

[Blossom]

You might find this quote helpful. Not all of the response applies to your situation but you might find some of it relevant.

RP recommends following tests for hypothyrodism

"
Blood tests for cholesterol, albumin, glucose, sodium, lactate, total thyroxine and total T3 are useful to know, because they help to evaluate the present thyroid status, and sometimes they can suggest ways to correct the problem.

Less common blood or urine tests (adrenaline, cortisol, ammonium, free fatty acids), if they are available, can help to understand compensatory reactions to hypothyroidism."- Ray Peat

Free Ftty acids Tests are also called non‐esterified fatty acids

At 52 there is a possibility of iron overload. You can
add Hemoglobin, RBC, Serum Ferritin and Transferrin
Saturation to get an idea about total iron storage.

Other useful tests are
Serum CO2
Calcium Phosphate PTH
Reverse T3
CRP
Serotonin

For prostate
In prostate problems Active thyroid hormone T3, Pregnolone,
Preogesterone, testesterone, DHT are low and estradiol and
DHEA are high.

Pregnenolone
Testesterone
DHT
Estrogen (Estradiol)
DHEA

Edit: If i go for minimum amount of tests then TSH, Total T4, Total T3
Reverse T3, Total cholesterol, Prolactin, PTH would be fine.

 

[Blossom]

Here's another quote that might help.

I can not really suggest any medication. All your numbers are within normal range.
Ideally TSH should be below 0.4 . Normal numbers do not mean good thyroid function.
You can track your temperature and pulse 1-2 hours after breakfast to get a
good idea about your thyroid function. I believe one should fix the diet before
considering thyroid supplement. You will need total cholesterol at least 160, preferably 200
for thyroid supplement to work properly. Thyroid supplement can not work without a balanced nutritious diet. It can also make things worse as increased metabolism has higher requirements
for nutrients. Riboflavin and Folic acid supplement can be quite allergenic.
For allergies RP recommend pure Benadryl or Cyproheptadine.
I have noticed low PTH helps with allergy.
A good ratio of calcium to phosphorus and vitamin D play major role in
keeping PTH low. Vitamin A , Vitamin K and niacinamide are also helpful in lowering PTH.