Diet too clean, try to get near total cholesterol = 180
Yours is too low and unhealthy.
You are on your way to hypothyroidism!
Have you stopped using iodized salt?
Sea salt, pink salt, kosher salts are ruining lives.
Check out last paragraph in this post.
TSH should be near 1.0
Thyroid lab ranges are stupid.
fT3, fT4 should be mid-range or a bit higher
fT3 is the active hormone and not tested!
Need to know where you are. Affects diagnostic and treatment options and how you get iodine in foods.
Your testes are not right. You have mixed primary and secondary hypogonadism.
Carbon dioxide probably high from holding your breath during labs. Relax!
Vit-D25 is suboptimal and it is a very important true steroid hormone. Find 5000iu tiny oil based gel caps. If darker skin complexion, you make less Vit-D3 from cholesterol+sunshine. Can be low during winter and summer if confined to air conditioned spaces.
I agree with your opening summary. In TRT you will become a lot more virilized. If you have the genetics for male pattern baldness, that will be set in motion. You can have a greatly improved quality of life and should get TRT ASAP.
At your age, there is a real risk of loss of fertility with TRT, if you do not use hCG or a SERM. In your case, perhaps your fertility is more fragile. Before you get busy dealing with that, it makes sense to have your semen examined to see if you are fertile now so you are not protecting a dead horse.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- 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.