33 y/o, Libido/ED Problems

While the range is 0-200, <91.8 is the reporting floor and could be anything less that 91.8, there may be a different E2 lab to use that is more sensitive and better suited for use in males.

fT4, post units please

fT3 is the only active thyroid hormone, there is not receptor for T4, fT3 is often not tested and may not be available ?wherever? you are.

TSH should be closer to 1.0, there may be a minor problem. Often TSH is elevated by iodine deficiency. Are you using iodized salt?

We often see guys put on brain meds when the cause is low hormones [T and/or thyroid].


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.

You can get a better evaluation of your thyroid status via oral body temperatures - see below.

You do not have a prolactin problem. LH/FSH are low and E2 and prolactin are not the cause of low LH/FSH. Blows to the head can damage the pituitary or a different kind of adinoma not producing prolactin.