Please directly edit your post above and add lab ranges. See pencil icon above.
Need labs in list format, not prose.
Looks like the problem is your testes. LH/FSH are good.
TSH should be closer to 1.0, thyroid lab ranges are quite useless.
This is a big problem.
Thyroid function and T-status both have huge effects on energy and fat gain/loss.
Have you not been using iodized salt?
How much iodine and selenium in your vitamins?
With thyroid issues, you probably cannot absorb T gels or creams.
Seated in a truck - bad seats: Is your underwear strangling your testes?
Biol identical testosterone: This concept is hugely abused by people who should know better, in many cases, self-serving deception. Injected T is T+esters dissolved in oil that is slowly absorbed. As T+esters are absorbed, the ester groups are removed. Injected T is a time release bio-identical testosterone delivery system.
Please eval overall thyroid function via last paragraph in this post.
Eat healthy fats. Very low fat intake is dangerous.
You are most likely quite V-D deficient. Take 5000iu Vit-D3 per day, take 25,000iu for first 5 days. Find tiny oil based gel caps.
Sleep: Quite and fully darkened room? How much coffee do you drink. Can you find time release melatonin? If fast release, wears off in 4-5 hours and dropping melatonin levels are exactly the mechanism of waking up.
ZZZquil contains https://en.wikipedia.org/wiki/Diphenhydramine which is available really cheap. If helps with sleep, but after a while is not effective. See if doc will Rx trazodone. 50mg may be effective, very cheap in USA. May need more over time as your body adjusts. Not addictive, but been able to sleep sort of is.
Sleep deprivation can affect your T levels.
Please read the stickies found here: https://forums.t-nation.com/t/about-the-t-replacement-category/38/2?u=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.