Thank you very much KSman!
- in Australia: Treatment options are fairly poor, I have failed at finding a doctor that will work with me and actually order satisfactory tests, I am a very low income earner and just do not have the money to continue to pay for their consult, that leads to referral to an endo who has an even more expensive initial consult(some crooks $400!!) and is even worse to boot! Then try again and go through the exact same costs again to arrive at you're a young man you're fine.
So I have absolutely no faith in the legitimate route at this point and no means to truly go that way, I've only finally just gotten these tests done as I've found a clinic that lets you order your own tests through them online(I've never been able to find this in aus), but you pay for everything privately.
So I can do all my own testing but maybe not as often as I would like due to expense and my means, as for medications I have not had much trouble tracking down everything, was thinking based on my symptoms my T would be tanked and if so I was going to say fuck it and get some test, self medicate while doing my own testing to manage levels and e2, much quicker, cheaper and more reliable then the hacks that have been stealing my money, try again the proper way in my 40s, hopefully with a better medical culture with more TRT knowledge.
But this has seemed a bit more complicated so threw a spanner in the works, however what you say about SHBG and total T makes sense, combined with the LH makes me think that may be the route regardless.
Liver: I have liver and blood values I will add them below, didn't last night just because it was late for me and I was half asleep, they were taken on a tuesday, had not trained that day, but had done overhead press and chinups on monday, nothing on sunday.
I rarely drink anymore and when I do its quite little, may go months without a single drink, had friends wedding a month ago and had maybe 6-8 drinks, nothing since. Have drank more in the past but progressively less and less over the last 6 years or so.
Starvation: I definitely have done very hard diets in the past, but hard and fast, always seemed better to stick to physically and mentally to cut, big dips in calories but for the shortest time possible seemed to effect my metabolism far less than the "cut 5% calories for 12-16 weeks" thing, so I would do quick cuts of like a month of 1500cal/day with maybe 2 4000cal days/week, rip 2 or 3kg a fat off then straight back to about 2700-2800 cals was my preferred method, rarely more than once a year, max I think is twice but its hazy now.
Salt: Did not grow up with iodized salt, switched to it exclusively as soon as I read about it, and many years ago now but I think when I did, I also did an iodine "loading" phase with a strong iodine supplement just in case to fully load my stores and then iodized salt ever since, all this was early twenties, around 23 I think.
Body Temps: I have seen this, I am going to get a thermometer as I don't have one, symptom wise I don't notice anything, don't feel cold, wear shorts and flip flops almost year round deep into our southern winter, it doesn't snow, but still gets cold, never ever use heating actually, sleep in very cool dark room and feel quite toasty warm in the morning
Restart: Here's my biggest omission from last night I don't know why I blanked on it, I don't take just about anything but I did try a 'cycle' of nolvadex and aromasin last year! Was frustrated with lack of progress with any docs and very suspect of my T so got ahold of pharma tamoxifen and aromasin, did not have access to the testing I do now so it was very much a shot in the dark, I can't say I noticed much from it.
I ran them for the last quarter of the year, so start sept to end of dec:
* 10mg tamoxifen/day(1/2 a tab)
* 6.25mg(qtr of a tab) a/day or maybe everyother day I can't remember, that was as small as I could get the tab
Continued the aromasin about 3 weeks after the tamoxifen I think, finished mid/early jan
As I said no tests so kinda stupid, did not notice much while doing it, definitely no libido, I definitely went with tamoxifen as I remember when I did clomid(no ai then either) after the anavar I felt like a bitch on her rag with a ton of anxiety! So did never want to touch clomid again, no thanks, definitely had a strong libido along with it at the time though(~4.5years ago, had no issues beforehand then, or for long while afterward)
So here are the last of the bloods
Sodium 141 mmol/L 135-145
Potassium 4.4 mmol/L 3.5-5.2
Chloride 102mmol/L 95-110
Bicarbonate 32mmol/L 22-32
Urea 6.1 mmol/L 2.5-8.0
Creatinine 107 umol/L 60-110
eGFR 79 mL/min/1.73m2
Calcium 2.29 mmol/L 2.15-2.55
Adjusted Calcium 2.26 mmol/L 2.15-2.55
Phospate 1.27 mmol/L 0.75-1.50
Uric Acid 0.30 mmol/L 0.18-0.47
Total Protein 75 g/L 60-82
Albumin 42 g/L 35-50
Alkaline Phosphatase 57 U/L 30-120
Total Bilirubin 7 umol/L <25
Gamma GT 16 U/L <51
AST 33 U/L <41
ALT 31 U/L <51
Globulin 33 g/L 23-39
Iron 14.3 umol/L 10.0-30.0
Transferrin 2.31 g/L 2.10-3.80
Transferrin Saturation 25 % 15-50
Ferritin 115 ug/L 20-250
Haemoglobin 137 g/L 130-180
RBC 4.20 x10^12/L 4.50-6.50
PCV 0.40 - 00.40-0.55
MCV 95 fL 80-99
MCH 32.6 pg 27.0-32.0
MCHC 343 g/L 310-360
RDW 12.3 % 11.0-15.0
White Cell Count 4.1 x10^9/L 4.0-11.0
Neutrophils % 40 %
Neutrophils 1.6 x10^9/L 2.0-8.0
Lymphocytes % 49
Lymphocytes 2.0 x10^9/L 1.0-4.0
Monocytes % 9
Monocytes 0.4 x10^9/L <1.1
Eosinophils % 2
Eosinophils <0.1 x10^9/L <0.6
Basophils % 1
Basophils <0.1 x10^9/L <0.3
Platelets 214 x10^9/L 150-450
Liver function looks ok to me but I'm ignorant in the area, definitely some oddities in the blood, borderline low haemoglobin, low Neutrophils, high MCH, I don't eat a low iron diet, iron and ferritin looks ok, could be higher but not too low, though I wonder if the low haemoglobin is just a knock on effect from low test
Like said in earlier post energy or zest for life is not at it's best but when training do not notice any real endurance problems.
So that's all I can remember to address at this point in time, let me know what I've forgotten!