Back on TRT, 2nd Lab Results in Low SHBG, High Free T, Not Feeling Great

See only lab ranges.

Do not test HGH!
Only IGF-1 is needed.

Ferritin 18 is very low.
Iron low,
CRP=3.3 is a big inflammation indicator
PSA needs to be watched

Do you have digestive issues? Could be a low level GI bleed. Healthy males do not have low iron, typically they need avoid iron supplements and fortified foods.

TSH too high, should be near 1.0
fT3 is low, should be near mid-range.
fT4 ditto

  • thyroid lab ranges are quite useless, doctors will think perfect - but not.

Do not test LH/FSH on TRT

You might have had metabolic syndrome, TRT will help a lot, but you also need optimal thyroid function.

Get homocysteine tested to detect cardiovascular inflammation.

Glucose high
A1C high
SHBG low

  • indications of diabetes

Take 5000iu Vit-D3 every day.

Are you taking a statin drug to lower cholesterol?

Please evaluate overall thyroid function via oral body temperatures - see below.

Thyroid can cause a lot of mood and energy problems as well as weight gain and more+++

Training on low-T and low thyroid function was/is risky - stresses adrenals.

Leg or food cramps? Magnesium deficiency, see “ZMA” in this site’s Biotest store.

Get occult blood test to detect blood in your poop. Not visible to the eye.


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 numbers 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.

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