Your TSH is horrible and indicating hypothyroidism or an autoimmune disease, TSH should be <2.5. The reference ranges for TSH aren’t normal, don’t expect your so caller expert thyroid doctor to be educated in his/her own field of medicine, expect him/her to be practicing medicine the way it was taught to them in medical school decades ago. We’ve learn a few things since then.
If you eventually if you go on TRT I don’t expect good results with TSH that high, Reverse T3 may be the cause for elevated TSH.
The evidence for a narrower thyrotropin reference range
It has become clear that previously accepted reference ranges are no longer valid as a result of both the development of more highly sensitive TSH assays and the appreciation that reference populations previously considered normal were contaminated with individuals with various degrees of thyroid dysfunction that served to increase mean TSH levels for the group. Recent laboratory guidelines from the National Academy of Clinical Biochemistry indicate that more than 95% of normal individuals have TSH levels below 2.5 mU/liter.
Reference ranges for TSH and thyroid hormones
Though TSH remains the most commonly used endocrine test in clinical practice, the issue of an appropriate TSH, and to a lesser extent, free T4 and free T3 reference ranges is still under debate. First of all the distribution of TSH reference range is not normal, with median values (also depending on population iodine intake) usually between 1-1.5 mU/L