Endo’s, uro’s and GP’s are not the type of doctors that specialized in TRT. Doctors in managed healthcare are not the ones calling the shots, it’s the insurance companies or state healthcare systems denying treatment to save on healthcare costs. Insurance companies are always finding ways to deny medical coverage so they can keep the money for themselves to empower the company.
You need to go to a private anti-aging or sports medicine clinic and pay out of pocket.
TSH is terrible and together with your high Free T4 and low Free T3 is indicating a conversion problem. Normally we see Free T4 lower in relation to Free T3, Free T3 is usually midrange of higher and Free T4 midrange or lower.
T3 only medicine is recommended for those with conversion problems.
The evidence for a narrower thyrotropin reference range
It has become clear that previously accepted reference ranges are no longer valid as a result of both the development of more highly sensitive TSH assays and the appreciation that reference populations previously considered normal were contaminated with individuals with various degrees of thyroid dysfunction that served to increase mean TSH levels for the group. Recent laboratory guidelines from the National Academy of Clinical Biochemistry indicate that more than 95% of normal individuals have TSH levels below 2.5 mU/liter.
Reference ranges for TSH and thyroid hormones
First of all the distribution of TSH reference range is not normal, with median values (also depending on population iodine intake) usually between 1-1.5 mU/L. There is also an argument that significant number of patients (up to 30%) with TSH above 3.0 mU/L have an occult autoimmune thyroid disease.
Two 50mg injections per week sounds about right, more frequent dosing may be necessary if sides are experienced.