Serum iron tests vary wildly, do not make changes based on that alone.
Avoid iron fortified foods [pasta, bread, cereals etc] and select vitamin products that do not list iron. Men normally do not need any extra iron.
Transferrin and Iron-binding Capacity (TIBC, UIBC) - Testing.com
AST/ALT do not indicate any liver issues.
Low alcohol tolerance does suggest a change in liver function.
Eyebrows suggest low thyroid function, but body temps are in conflict with this.
TT is good
SHBG is low VS TT=38 and E2=140
E2=140 is high, would be better nearer to 80 pmol/L
Can you post any labs for fasting serum glucose or A1C?
Low SHBG can be indicative of insulin resistance or diabetes.
Docs will think that SHBG is normal.
Elevated E2 is a risk for the prostate. Estrogens are much worse than T or DHT. Do not do PSA labs soon after sex or a digital rectal prostate exam as PSA is then exaggerated. Do not test TSH etc soon after doc palpates thyroid.
FT=1125 can be quite high at times with transdermal T. You cannot utilize FT levels as indications that T dose is too high with transdermals applied before lab work.
Hematocrit=50 is a concern. Keep watching that number.
TSH=1.9, 2.8 is showing some thyroid issues. Could be from a lack of iodine.
Re-emergence of iodine deficiency in Australia - PubMed
http://www.saxa.com.au/products_2.html
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
- thyroid basics
Your T levels are good, E2 is too high. An aromatase inhibitor, anastrozole, can be used to lower E2. Suggest 1/2mg twice a week. However, getting that there is a bleak prospect, mostly because of the docs and the medical system.
TRT turns off LH and FSH and your testes shrink. Injecting 250iu hCG SC EOD will take care of that. Costly there and mostly not available. 10mg Nolvadex EOD might work, but availability an issue there.
Note that transdermal T delivery has the highest T–>E2 potential, injected T is lowest. Self injections probably not available there.
Keep tracking low T helper cells.
Vit-D25 is great? Supplements or all sunshine?