If you have not been using iodized salt, you are iodine deficient.
Check your oral body temperatures:
- when you first wake up, should be 97.7-97.8, higher OK, 97.3 is a problem
- also see if you get 98.6 mid-afternoon
Read the thyroid basics sticky.
- gain weight
- can't loose weight
- dry skin
- general hair thinning
- sparse outer eyebrows
- lack of energy
- brain fog
- common symptoms with low-T
TSH should be nearer to 1.0
T3, T4, fT3, fT4 should be mid range or a bit higher, do the math.
Please ignore normal ranges.
Keep on top of hematocrit
TRT will make hematocrit worse!
Your labs suggest iron deficiency, don't see that with low-T, high range ferritin and high hematocrit.
Very odd from my limited point of view.
Have you had an occult blood test?
You need TRT and transdermal is probably not going to work with your state of thyroid.
Focus deeply on the thyroid and iodine issues.
You can ping me on the 'ksman is here' thread.
You may be able to get off of the SSRI's. In any case, Wellbutrin would let your brain be more normal. You would have SSRI withdrawal issues.
Should be testing estraDIol E2
Not estrONE E1
You should get a good broad spectrum probiotic and take for one month.
Adverse gut flora can take E2 metabolites and convert then back to active forms that are then reabsorbed.
E1 seems very high for low T levels!
Multiple issues, don't miss any of them.