43, Low Libido, Went for Testing at HRT Clinic

Body weight suggests a problem.

Agree that total cholesterol is too low. <160 is associated with increased all-cause mortality. Cholesterol is base for all steroid hormones and Vit-D3.

Thyroid not bad, but do check oral body temps as per below to confirm OK. Looks like you do use iodize salt, but perhaps not enough.

Vit-D is very important. Many need 5,000iu per day.

While labs look good, missed:
FT - free testosterone or SHBG or both
E2 - estradiol
AM cortisol - at 8AM please or 1 hour after waking up
AST/ALT
fasting glucose, perhaps A1C
DHEA-S - not DHEA - if really low, could be related to low cholesterol
LH/FSH - must be before starting T treatments!

  • HRT clinics can have tunnel vision, you can order labs on line in USA in most States if your docs do not cooperate.

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.