Avoid any foods with added iron.
Read the advice for new guys sticky.
What Rx or over the counter [OTC] medications?
ALT: 56 ( 10-50) u/L
ALP: 106 ( 40-110) u/L
- are elevated, can be medications, or alcohol as simple causes
Free T3: 5.4 (3.3-6.0) pmol/L
T4: 11.9 ( 9.0-19.1) pmol/L
T4 is a bit low, better if closer to 15
- do you use iodized salt?
Best measure of thyroid function is checking your body temperatures, see the thyroid basics sticky.
You have secondary hypogonadism. Prolactin is not the cause. E2 is quite high relative to your T levels making you estrogen dominant.
SHBG is low, a symptom of diabetes and fasting glucose is high border line. A test called A1C would be definitive.
TRT improves insulin sensitivity.
Low SHBG levels increase the probability of Type 2 Diabetes. [not cause but likelihood]
From what you describe, your hormones have never been right and you were never properly virilized.
HDL is low. These can help:
high potency B-complex multi vitamin with trance elements, including selenium and iodine
anti oxidants, including natural source vitamin E and vitamin C
There are two stickies above for suggested reading.
Come back with body temperatures and iodized salt use.
What are your medical options there?