T Nation

Advice/Help with Blood Results?


Hi everyone

Looking for some advice. After having fertility issues and many various tests with no solid reason why I was referred to NHS Endo. He ran a blood test which came back with low test. After this I had 2 further tests and the results are below

Test - 6.9, 5.1 and 6.7 nmol/l
Cortisol - 222 nmol/l
Shbg - 10 nmol/l
Albumin 46g/l
Igf-1 - 24.7 nmol/l
Ferritin- 98 mcg/l
Fsh - 5.2 units/l
Lh - 7.4 units/l
Prolactin - 178miu/l
Free t4- 8.4 pmol/l
Tsh -1.52mu/l

Free testosterone calculated at 0.201 and 0.152nmol/l

I also had an mri which found a growth on my pituitary but the Endo wasn’t sure if this was causing an issue or had previously caused issues which I am getting over.

My girlfriend is now pregnant so the fertility side is now not an issue.
I have had all the usual signs of low t for a while but just though it was part of getting older main things being brain fog , lack of confidence, anxious and recently giving up on the gym after about 13 years due to frequent injuries and no progress

The Endo wishes to have another mri in 6 months and more blood tests and he said he ‘may’ start trt if my test drops any further , he did say my test is low but free is just in range but didn’t take into fact that I am 29 and not obese.

What should I do , I really want to feel better again and don’t really want to wait 6 months just to be fobbed off again?

Advice needed please

Many thanks


Your SHBG is really low, are you fatty liver or have diabetes? Diabetes is almost a guarantee once you test drops below a certain point. You might struggle with TRT with SHBG that low, without enough SHBG you have little to activate and regulate sex hormones. Low SHBG is a sign of more health problems to come. Your test is super low! You have an uphill battle on your hands with the NHS! It already sounds as if your doctor isn’t that concerned with where your test levels are currently, you may need to go private and self pay. This is the reality in the UK, they deny treatment to those well below the ranges. I hear stories everyday from the UK about denying treatment unless you are super low, they’re not interested in paying for it for life. Once they deny you don’t waste your time fighting it, go private.

Google --> NHS Endo deny trt



Please directly edit your post and added the lab ranges.

Your testes seem to be the weak link, LH/FSH are good.

Please read the stickies found here: About the T Replacement Category

  • 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.


No fatty liver (that I know of) and not diabetic so no idea what’s causing the low shbg , I know it’s not easy on the nhs but my test levels are low on their ranges which doesn’t even factor in age


Probably genetically low SHBG then, it’s simply the hand you were dealt. I’ve noticed a lot of low SHBG guys seem to come from the UK. There’s no evolution in medicine over there, they’re content with remaining blissfully ignorant. Everything over there changes because of things changing here first, there’s a lag in the time it takes to advance things over there.