Recent Labs (Fasted, done at 8 AM):
SHBG - 95.6 nmol/L (Range: 16.5-55.9 = Abnormal)
Albumin, Serum - 4.6 g/dL (Range: 3.5-5.5 = Normal)
ALT - 43 IU/L (Range: 0-44 = Normal)
AST - 70 IU/L (Range: 0-40 = Abnormal)
Glucose - 69 mg/dL (Range: 65-99 = Normal)
Prolactin - 3.0 ng/mL (Range: 4.0-15.2 = Abnormal)
TSH - 1.470 uIU/mL (Range: 0.450-4.500 = Normal)
Estradiol - 10.2 pg/mL (Range: 7.6-42.6 = Normal)
Testosterone, Serum - 399 ng/dL (Range: 264-916 = Normal)
Free Testosterone - 3.6 ng/dL (Range: 9.5-26.5 = Abnormal)
Symptoms / Issues: Urinating frequently at night, occasional night sweats, little to no sexual desire, no morning wood, ED, lack of energy / motivation.
I take Iodoral and use iodized salt. I am not on a restricted diet and am well-fed.
Other stats: 5’11, 185lbs, exercise daily and lift weights 4 times per week. I have abs / definition, body fat estimated 11 - 13%. Definitely leaner and more fit than the average gym goer. Bench 275, Squat 365, Deadlift 450 as approximate maxes.
I honestly have no idea why my free test is so low and SHBG is so high. I’ve been lifting weights for almost a decade and just feel like I got the short end of the hormonal stick apparently.
Should I pursue TRT? Any advice would be appreciated.
Old thread with old labs: