Hi guys,

I'm gonna write this because I hope it might help someone.
A little disclaimer upfront, English isn't my native language, I'm not an expert, and I'm fucking tired while writing this, so spare for me any little mistakes.

If you are on TRT or planning to do so, make sure you have done your bloodworks with a full thyroid panel;
TSH
T3/T4
FT3/FT4
Reverse T3
Antibodies
TBG (when elevated, it renders your T3 inactive)

Why do i say this? Because standard checks are limited (usually in the WEST) to just TSH and FT4, and that is just not enough, they might give back results in the normal reference range...

Most people will know or understand that T4 converts into T3, but people that have (elevated) TPO antibodies in their blood, could have problems with that conversion (High reverse T3).
Those antibodies are attacking your thyroid, this is an auto-immune problem (Hashimoto's / Graves). Your auto-immune system becomes overactive, this makes your body (and mind) be in a constant stress (high cortisol) and that stress will render your "available" T3 inactive, so you will still feel like SHIT.

Thyroid problems or auto-immune problems overlaps with symptoms as LOW-T, hence why I'm putting it in this section.

I titled it "The Silent Killer" because this problem might take many years to really develop.

Usually doctors check TSH, and only after it becomes above the reference range, then they will check for antibodies, and then they say "Oh it's Hashimoto's". But antibodies might be present already and could take up to average of 10yrs to kill your thyroid, and it's slowly killing mine, and took many years of my life to figure this out.

Indication for me was that i always had elevated Prolactine levels, which then let me check to thyroid problems, and looked into labs i had done with multiple endo's and in trt clinics in past, and only one had my antibodies checked, which was slightly elevated back then, but it's very high now.

I've had many medications, tried so many therapies, nothing helped me, until i figured this out and started using some T3. After 3 days of taking 0.25mcg i already felt my body and mind started to work again and knew I'm in the right direction.

Have an appointment with an endo next month, so i stopped using it, then i won't skew up the bloodresults, and have a nice baseline again, and hopefully some free T3 meds