Where are you located? Affects diagnostic and treatment options.
How are you from an athletic point of view? Good eye-hand coordination and reflexes?
Do you take any supplements? - history please
Any blows to the head or whiplash? This can damage the pituitary.
Serum free T4 - 19 pmol/L (10-22)
Serum TSH - 2.5mu/L (0.3-5.5)
TSH=2.5 should be closer to 1.0
T3, T4, fT3, fT4 should be near or a bit above mid-range.
fT4 is well above mid-range
Thyroid lab ranges are rather useless and “normal” means very little.
TSH=2.5 is a serous issue. Normally when we see this we assume that most likely this is a case of iodine deficiency. But then we would expect to see fT4 below mid-range. So this is a complicated case. Thyroid is very complex, more complex than TRT. We can get a better idea of what is going on by looking at oral body temperatures. This is very important. You need to address thyroid and sex hormone issues.
Sodium was very high.
Were you fasting for the labs and dehydrated?
Try to be well hydrated for lab work.
Most of your blood levels are what we expect to see with low T.
Are your testes smaller or softer than ???
Do your testes ache at all?
You can get a doctor to examine. There are a couple of things that can go wrong.
LH/FSH will tell us if the problem is your pituitary, testes or mixed.
Prolactin can be elevated and that can reduce LH/FSH that causes low T.
You should look for higher amounts of Vit-D3. Better to find 5000iu, yes 5000, tiny oil based capsules and take with meals that have more fats/oils and avoiding taking with high fiber meals such as oatmeal.
Please discuss your history of using iodized salt.
Do you have?
- feeling cold easy or easier since when
- sparse outer eyebrows
- thinning hair - not male pattern baldness
- brittle nails or hair
- dry skin
Please read the stickies found here: About the T Replacement Category
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
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.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.