The biggest problem is the doctors, most are idiots and uninformed at best. Endos are as a group the worst, when it should the the opposite.
Please read these stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Your cholesterol is way too low! 160 and below are associated with increased all-cause mortality.
Other labs:
pregnenolone
DHEA-S
AM cortisol - at 8AM please
HDL cholesterol is low:
high potency B-complex multi-vit with trace elements including iodine+selenium
fish oil
DHEA if needed
health fats
Vit-C, natural source Vit-E
Hi LH/FSH: What history of hot flashes?
[TRT will lower or zero out LH/FSH]
So you have one testicle , TT is mid-range and FT range is not shown, only a minimum.
I could look for FT ranges, but these vary wildly from one lab to another, so go back to the source for that. You are getting into primary hypogonadism and your LH/FSH levels are high to compensate. Your pituitary may not play that game forever.
Cortisol is made from progesterone in the adrenals. Can be a problem if progesterone is low. Progesterone cascades from pregnenolone. Males normally produce a significant amount of pregnenolone in their testes.
FT status remains a big unknown and because it is pulsatile, even a lab range may not paint the who picture. As SHBG is low, FT may be moderate and not low.
Symptoms of low thyroid function are mostly the same as low T. Having both is a double hit.
Make sure that you get iodine from iodized salt.
TSH would be better closer to 1.0
Check oral body temperatures as per the thyroid basics sticky as this is the best measure of overall thyroid function.
You may need more health fats in your diet.
How are you getting essential fatty acids?