question from a user
do you have any advice for someone that has hypothyroidism and is considering TRT?
AlphaMD's Answer
Hypothyroidism can affect SHBG and lower total testosterone levels. But if it’s properly treated, then thyroid shouldn’t affect your T levels. Adding TRT does increase conversion of T4 to T3. For this reason, some people may need to lower their levothyroxine dose after starting TRT
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