Elevated SHBG is lowering FT, creating more non-bioavailable SHBG+T which inflates TT so TT then overstates your T status.
SHBG is made in the liver and E2 increases, FT or bio-T decreases and liver conditions/disease can increase SHBG. Sometimes no reasons exist. Your liver AST/ALT do not present any concerns. Your liver E2 clearance seems good.
Feeling cold suggests low thyroid function which then drives fat gain and makes energy low. Low thyroid function has most of the same symptoms as low-T so you can then have a double dose of misery. Your problem might be as simple as an iodine deficiency from not using iodized salt. If so, your whole household might be affected. You are working on the oral temperatures which is great.
Teste aches: Testicular cancer is a young man’s disease. Most cancers secrete FSH and your low FSH seems to rule out testicular cancer. You could have a vascular problem, often correctable with surgery.
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.
KSman is simply a regular member on this site. Nothing more other than highly active.