You could have tested LH/FSH, cannot do that now.
You have hypothyroidism. Lab ranges are stupid, so doc thinks you are perfect.
This might be from an iodine deficiency caused by not using iodized salt.
Please provide your history of using iodized salt.
If you need to increase iodine intake, it is very important to be taking 200mg/day selenium to protect they thyroid from factors that lead to autoimmune disease.
TSH should be closer to 1.0
T3, T4, fT3, fT4 should be mid-range or a bit higher.
fT3 is the active hormone and should be tested.
Do not test GH!
IGF-1 is your measure of GH status.
FT––>E2
Your low FT means low E2 production.
E2=28.5 is then really odd.
Suggesting poor E2 clearance in the liver.
Did you test AST/ALT?
Some meds, Rx and OTC can reduce liver E2 clearance.
SHBG is increased by higher E2 and lower FT. FT is a major factor. Liver problems can increase SHBG. SHBG is made in the liver to scavenge sex hormones from the blood.
With heavy training on low-T and low thyroid function, natural energy can be replaced by adrenalin. Adrenals get stressed and rT3 can increase which blocks some fT3 action at T3 receptors. Key work is adrenal fatigue.
Discuss your energy levels and what it takes to fire up initiative. Now and in the past.
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.