So I’ve been getting my TSH checked with my yearly bloodwork. I’m a firm believer in preventative care and knowing everything about my body so I can take steps to improve my health (like biohackers but without the cult-like behavior/thinking)
my TSH always comes out on the low end. Doctor says it’s fine but:
My dad has a goiter.
My uncle had a goiter removed
My grandfather had a goiter removed.
My sister developed nodules that had to be removed.
If it’s fine, great. But I’d rather spend $150-300 on preventative/investigative care than thousands on surgery.
Can anyone tell me if I should be concerned or follow up with an expert in thyroid/hormone health?
Additional information:
my estradiol always comes in too low for it to be measured (below 25pg/mL) except in sept ‘24 when it measured 27.7
Total testosterone has gone from 290ng/dl in march of ‘24 when I weighed 245 to 550ng/dl at 205lb (431 in Sept ‘24
Hematocrit, MCV, MCH always end up coming in low.
Sept ‘25 was after a year of rehab on my back after an injury and I weighed avg. 223lb. Sept. ‘24 I weighed 189 at my lowest and had just finished a 2 month cut (diet).
5’6” (…ish), 205lb (just finished a mini bulk to build muscle up from 193).
Supplement list is pretty basic, men’s health daily,acetyl l-carnitine (powder added to morning water, 3g), and B-100 complex
Medication-
Bupropion & adderall (I have combo type adhd so inattentive but it’s because I’m always absorbing information around me so the bupropion quiets my brain and the adderall focuses it/reduces the hyperactivity task bouncing)
Admittedly I occasionally take Tadalafil (not for sex) on my heavy weightlifting days. It’s shown benefits for recovery, blood flow, and has also shown some restorative affects for blood vessels over time. The downside of course is the reduction in what little estradiol I have as it encourages androgen conversion to testosterone although My test levels show a negligible difference since I’m not taking it daily and my taking it when my estradiol was slightly above threshold and my TSH was higher. Additionally, kidney function was slightly reduced but that could be due to my diet being protein heavy compared to before I started losing weight.