fT4 and fT3 should be mid-range or higher, both are low.
TSH should be closer to 1.0
Your hands and feet are cold because fT3 is low
see last paragraph in this post to further self-eval thyroid function.
You are probably iodine deficient. You labs suggest that you are not located in UK.
Location determines how iodine is available. Iodized salt is best option, but not generally stocked in UK. You do not get any iodine via dairy foods.
Stress can increase rT3 that interferes with fT3 at T3 receptors making things all the worse. You can get rT3 tested.
Low thyroid function lowers energy levels and contributes to fat gain and lethargy.
50mg clomid is bad because it drives up E2 levels and when you stop, the lingering E2 shuts down T production. Elevated E2 drives up SHBG. SHBG lowers FT and inflates TT with SHBG+T that is not bio-available.
Is manganese been confused with magnesium? Most are magnesium deficient and that can show up as crampy leg and foot muscles.
You need more iodine in your diet AND a high potency B complex multi-vit with trace elements including iodine+selenium and that does not list iron. Normal males need to avoid added iron. Your low B vit labs indicate a poor diet that may impact your children and iodine is very important for them as well.
Take 5000iu Vit-D3, see if you can find tiny oil based capsules.
CK HIGH:
Creatine kinase in the blood may be high in health and disease. Exercise increases the outflow of creatine kinase to the blood stream for up to a week, and this is the most common cause of high CK in blood.[8] Furthermore, high CK in the blood may be related to high intracellular CK such as in persons of African descent.[9] Finally, high CK in the blood may be an indication of damage to CK-rich tissue, such as in rhabdomyolysis, myocardial infarction, myositis and myocarditis. This means creatine kinase in blood may be elevated in a wide range of clinical conditions including the use of medication such as statins; endocrine disorders such as hypothyroidism;[10] and skeletal muscle diseases and disorders including malignant hyperthermia,[11] and neuroleptic malignant syndrome.[12]
So muscle soreness or injury/bruising possible cause.
You were dehydrated for your labs and/or loaded up on crisps before. When doing fasting lab work, do not be thirsty, drink water.
Your first labs never tested LH/FSH - not good practice to start TRT etc before getting those.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- 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.