Your labs present some conflicting data, hard to understand.
With guys at high normal T levels on TRT, most do best near E2=22pg/ml - 80 pmol/L. With middle ground FT, FT–>E2 production rates are not high. This suggests impaired E2 clearance in the liver. Lab work for AST/ALT would show if from something serious. Sore muscles from training or injury can spike AST/ALT, so you would need some days off training.
Your high SHBG is leading to more non-bioavailable SHBG+T that inflates TT that then overstates your status while lowering FT.
High LH/FSH could be from that supplement if spiked with a SERM. That then could lead to high E2 from T–>E2 inside your testes. Stop using that then repeat LH/FSH and E2 in 3 weeks.
Where is your home base?
Your pituitary is working hard. This is odd because your FT is not very low and elevated E2 should be suppressing LH/FSH. LH/FSH is blind to sperm count. Elevated E2 causes liver to produce more SHBG and lower T levels also.
TSH should be nearer to 1.0
fT3 and fT4 are good center of ranges. So we need to consider that rT3 might be blocking some of your fT3 causing increased TSH.
You need to post your oral body temps, see below.
Thyroid is more complex than TRT.
In any case, with your high LH/FSH and midrange FT, your testes seem to be weak. You can test DHEA-S to see if that is low limiting DHEA–>T, but we rarely see that.
I started this post a few days ago before getting a cold, so it may be more disorganized than typical.
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.