We do not know your age.
Do you need to preserve your testes and fertility?
Is this backward? “Recent T levels free:570 total:20”
Lab ranges please…
E2=78 pmol/L is nice. T levels could be higher, but then FT–>E2 would also increase.
If you are not tolerant of higher T levels, the possible issues could be increased E2, low thyroid function or weak adrenals.
Please post all lab work, not just those hormones and include lab ranges.
Where are you located? Affects diagnostic and treatment options.
Low energy cause needs to be identified and TRT–>clomid is a dumb move.
Low energy causes:
- low thyroid function - self eval via oral body temps - see below
- iodine deficiency causing above
- low cortisol, check AM Cortisol and do at 8AM or 1 hour after waking up
- elevated rT3, reverse T3, stress is a major factor and chronic health issues such as mold could be a cause of that.
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 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.