At the time of the labwork, were you feeling sore muscles or bruised muscle?
Any other physical injury?
Glucose is high for a fasting state. Your insulin sensitivity may be poor. TRT can improve this. You could eval your status better with A1C lab test. Your regular doc can order this for you.
Chloride, sodium was low.
Was this a result of your restricting salt intake?
Can also be from diuretics which may cause you to drink more water and piss it out, carrying off some electrolytes more than others [including iodine].
Avoiding salt can be avoiding iodine.
So this can be side effect of your high BP meds.
AST/ALT are mildly elevated. I am assuming that they are not elevated because you were working out.
Cholesterol is good!
Hemoglobin, hematocrit are good. RBC reflects your low T status.
Total proteins are surprisingly good relative to your T levels.
Calcium seems high. Might be from fasting-dehydration or BP meds. But with low-T, calcium can easily be leaving your bones to your blood and getting pissed out. TRT will reverse that trend.
Triglycerides are quite low. Something good from your diet and daily occupational work.
TRT may resolve part of your LDL.
Low DHT is a result of low FT to support FT-->DHT
TSH is terrible
fT4 is slightly below mid range
fT3 is lowish
You were not using iodized salt.
You need to get iodine and MUST have selenium in your supplements.
Monitor body temperatures and watch for improvement and improved metal clarity and energy.
However, you are still limited by low T
Increase intake of Vit-D3
E2 is low because low FT leads to less FT-->E2
That is sort of expected.
But SHBG=52.8 is a major problem as we are not looking for cause of high SHBG that is not E2.
But note that low FT can increase SHBG, but that does not explain everything.
Perhaps your BP meds are a factor.
TRT can reduce BP by improving how arterial muscles can relax to accommodate each pulse of blood.
Take 25mg DHEA
Take fish oil, flax seed oil/meal, nuts
Do not take any of these things with high fiber meals [oat meal].
Cortisol is good!
You need TRT.
Your thyroid is a mess, so there is a high expectation that transdermal T will not work for you.
So you need to inject T.
You need to watch E2 as this might make SHBG worse before increased FT improves.
See these sticky/links:
- advice for new guys
- protocol for injections
- things that damage your hormones
- finding a TRT doc
I will go with you to your doctor is doctor is OK with that.
Thyroid, get iodine and selenium on board and watch temperatures. Do repeat labs for TSH later. Do not start thyroid meds at this time as you may have a simple iodine deficiency.
Seek TRT, I can recommend a health management doc, but it is $$$
Labs: A1C to very eval insulin sensitivity
Diet: Work to avoid more simple carbs, quench hunger if needed with whey protein shakes.
[I now know this guy in real life and have also written above to things that were not disclosed in the opening post.]