73kg (160lbs) around ~18%bf
-describe body and facial hair
Some chest and normal leg hair, can grow a shitty patchy beard.
-describe where you carry fat and how changed
Belly and chest, very little on limbs. Puffy nipples that might be gyno.
Used to not gain a gram of fat despite eating tons.
-health conditions, symptoms [history]
I have struggled with ear infections throughout my childhood, have had many operations and antibiotics, and have had several bad reactions to antibiotics.
As far as (possible) T related issues;
Loss of motivation
Poor sleep (I need way more sleep to even somewhat function than normal people)
Lack of sex drive
Lack of self confidence
Generally not feeling like myself anymore
Around the time all this started I also had a period of having to get out of bed 4 times a night to piss(in high volumes). Went to the doctor to get checked for diabetes but nothing came out of that.
-Rx and OTC drugs
None, besides the antibiotics years ago.
TSH 0.9 mU/l (0.3 - 5.6)
(have FT3 from 2010 at 6.5(3.8-6.0) was already having issues then)
Cortisol morning 324 nmol/l (150 -600)
IGF1 25.5 nmol/l (12.5-41.3)
Prolactin 0.15U/l (<0.3)
LH 2.7 IU/l (1.0-9.0)
FSH 2.3 IU/l (1-19)
Testosterone 11.2 nmol/l (8.64 - 29) (Also have older labs that hovered around 9 nmol/l several times since 2010)
Free test 0.257 nmol/l (>0.125)
SHBG 18.6 nmol/l (18.3 - 54.1)
Estradiol 95.1 pmol/l (41.5 - 158.5)
I eat healthy enough, plenty of all macros. Supplement D3, general joint supplements and ZMA.
Mostly strength training with some accessory work, I know what overtraining feels like and this is not it.
Reasonably strong and have a decent amount of muscle mass.
-testes ache, ever, with a fever?
I've had some rare testicle pain, but nothing super serious, never with fever. Always chalked it up to blueballs or something.
-how have morning wood and nocturnal erections changed
Rare now, used to have them pretty much every time. Even during the day.
My doctors won't help, and gave me mostly retarded answers to questions and unsolicited advice straight from moms magazines. (Based in the Netherlands, so there are no real TRT clinics here.)
So I'm kind of stuck here, considering treating myself since good gear isn't hard to get a hold of around here, but I'm just wondering if anything stands out here.
Any insights or advice would be greatly appreciated.