Your low SHBG could be part of insulin insensitivity aka diabetes and one glucose test was high and assumed fasting. You should request A1C lab work that provides a good measure of average glucose.
With low TT, your HTC=0.50 [hematocrit] there is concern that increases T levels will increase HTC. Drink water during your per-lab fasting to avoid dehydration.
Thank you for a great informed post!
TT is low because low SHBG means that there is less non-bioavailable SHBG+T contributing to TT.
FT is tricky because it is released in pulses with a short half-life and lab results are a snapshot of a moving target.
LH/FSH is low, cause of that is unknown. Prolactin is not a cause, but that does not rule out physical damage to the pituitary or an other type of adinoma.
FT may become lower later on, Clomid could cloak that.
E2 was not tested and low SHBG and low FT suggest that E2 is probably low and not a factor in LH/FSH suppression.
Thyroid: TSH is quite a crude evaluation of thyroid function. Your fT3 is either low, or rT3 is interfering with fT3 at T3 receptors. Both thyroid and T can reduce energy, mood, libido etc. Training with these deficits often involves adrenalin compensating for energy when training and the result can be adrenal fatigue. We see this combination of factors quite often here.
Do you consume commercially produced breads and dairy products?
Please also read the HPTA restart sticky.
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.