- Dec 25, 2024
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| ⚙️ Thyroid Mechanics | ⚠️ Lab Pitfalls |
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🎯 Precision Dosing Protocol
| Step | Action | Key Metrics |
|---|---|---|
| Baseline | Test TSH, fT3, fT4, rT3 | fT3:fT4 ratio >0.33 |
| Dosing | 1.1μg/kg lean mass | Take at bedtime |
| Adjustment | +12.5μg every 4 weeks | Target fT3 3.4-3.8 pg/mL |
💡 Pro Tip: Bedtime dosing boosts absorption 30%
🛡️ Muscle Protection Stack
| Nutrient • Selenium 200μg • Leucine 5g • Omega-3 2g | Function ↓ Reverse T3 40% ↑ Muscle protein synthesis ↑ T3 conversion 22% | Timing Daily AM Pre/post workout With meals |
🔥 Metabolic Amplifiers
- Time-Restricted Eating: 8-hour window → 37% more fat loss
- Carb Cycling: <50g carbs 3x/week boosts T3 conversion
- Eccentric Training: 3x/week protects muscle
📊 Results That Matter (12 Weeks)
| Protocol | Fat Loss | Muscle Change |
|---|---|---|
| T4 Only | 4.2 kg | -0.8 kg |
| T4 + TRE + Selenium | 7.1 kg | +0.3 kg |
⚠️ Safety First
| Must Avoid • Calcium/iron within 4hrs • Cardiac issues • TSH <0.4 | Monitor • QTc interval • Heart rate • Temperature | Troubleshoot • High rT3: Add selenium • Fatigue: Check ferritin • Plateau: Diet break |
Dr. L. Khoshaba said:"The sweet spot: Enough T3 to torch fat, but not so much it melts muscle. Micronutrients make the difference."

