SHBG has been tested or we are guessing?
E2 is high and FT is low. This makes one very estrogen dominant. 1/4mg anastrozole twice a week may be very beneficial. Some are anastrozole over-responders who will crash E2 and need to take 1/4th the expected amounts. Goal is E2=22pg/ml. This might allow LH/FSH to improve and T to improve with both factors influencing SHBG lower. But while this may feel better, end result probably not great.
Prolactin might be elevated and driving down LH/FSH.
These activities can increase prolactin and should be avoided before labs for a few days: orgasm, hugging [babies, kitten, puppies].
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.
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 numbers 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.