Pissing a lot: Prostate infections can cause need to go frequently, but not increase volumes. Any discomfort there? Such things might refer to the testes, but your symptoms were minor and rare.
Low SHBG can simply be low for some guys, but does show up with diabetes. Your FT is decent. LowSHBG+T is lowering TT and TT thus understates your T status. The problem is that FT varies a lot and lab timing can catch higher or lower FT values, so there is uncertainty.
Have you had doctors examine your testes?
Testicular cancer is a young man’s disease.
There can be vascular abnormalities, often repaired with surgery.
Your TT, FT, LH, FSH do not suggest any problem in the testes.
Low FSH rules out most testicular cancers.
Thyroid:
TSH seems ideal, but often TSH results can be misleading.
fT3 should be mid-range or a bit higher. fT3=6.5 is too high.
See last paragraph in this post to evaluate overall thyroid function.
Please explain your use of iodized salt and sea food over the years.
How much of your food is prepared in your own home?
fT3 is the active hormone
rT3 blocks fT3 at T3 receptors
chronic illnesses, infections, inflammation and surgeries increase rT3
Do you get cold easily?
Are your outer eyebrows sparse?
fasting cholesterol?
fasting glucose?
RBC
hemoglobin
ferritin
hematocrit
What digestive issues do you have?
Any foods that you cannot eat?
Immune system: Vit-D is very important. Please take 5000iu per day. [how much Vit-D3 have you been taking?] Thyroid also affects immune system.
What drugs, Rx and OTC are you taking lately?
What supplements? only as listed above?
Please describe issues with joints. Do you take any medications for the pain or swelling [doses]?
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.