While TSH is good, fT4 is below midrange.
fT3, the active hormone, is way below mid-range --problem–
Guessing that years of inadequate iodine may have led to some thyroid nodules that are producing some hormones and lowering TSH when other labs suggest that TSH should be high.
Please discuss history of using iodized salt?
Sea salts and natural salts do not have any useful amounts of iodine to support thyroid hormone production, not healthy. And you may not be getting enough selenium.
Males hoard iron and needing supplemental iron is often a sign of a GI bleed and an occult blood test to detect blood in your poop is good screening.
Heart burn meds reduce absorption of minerals and B-12.
Your have primary hypogonadism. Stimulation of LH receptors with hCG or via LH induced by a SERM [clomid] it probably going to be totally inadequate. If you use high doses of those, you may get high E2.
Your high SHBG is not explained by E2 but could be from very low FT.
Low T lowers HCT. But yours is a bit extreme. High T levels from TRT would fix this.
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.