Hello Mike 99cz
Your case is complicated because some of your labs appear like they are from different people.
Your thyroid is a mess and numbers change a lot. Please get a vitamin that lists 150 mcg iodine, or more and 200mcf selenium. This may resolve your thyroid auto-immune issues. The thyroid nodules may be from iodine deficiency in the past. High TSH from that can cause the nodules. Maybe we can prevent this from progressing to hyper-thyroidism. Please self-eval overall thyroid function via last paragraph in this post.
Ignore HG and hGH results. GH is released in pulses with a short half-life. Please use IGF-1 to evaluate GH status.
Hematocrit is low because T is low. But there could be another cause contributing to this such as a blood loss in your gut. Any food allergies etc.
TRT typically fixes low hematocrit.
Low SHBG means less SHBG+T which then reduces your TT number.
Low SHBG is often seen with and a symptom of diabetes. There is a A1C test that is more definitive than serum glucose. However, there are some guys who have low SHBG with no identifiable cause.
(96.8F) or 98.6F-37C body temperature?
fT3 5.12 (3.8-6.0)
When fT3 is mid-range, normal body temperatures are expected. When body temps are low, we suspect that rT3 is elevated and interfering with fT3 at T3 receptors. rT3 is increased in “adrenal fatigue” caused by daily stress or stress events. When young guys have low energy from low T and/or thyroid issues and gt energy to train from sheer will power and adrenalin, this can fatigue the adrenal glands.
E2 generation should be low as low FT means less FT–>E2. Problem may be poor liver clearance of E2. That can be from a liver problem. Please get AST/ALT tested.
Useful? http://uroklinikum.cz/
- 50mg T cyp twice a week, use #29 12mm 0.5ml insulin syringes, SQ over upper leg
- 0.5 mg anastrozole at time of injections
- 20mg nolvadex [preferred] EOD or 25mg clomid EOD
Please read the 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
- thyroid basics
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.