You are acting like a dumb ass doctor saying that things are normal when you really needed to post everything with ranges. Does not matter that docs say…
SHBG is screaming out for deeper understanding.
Sex hormone-binding globulin - Wikipedia
SHBG is made in the liver to scavenge sex hormones for return and metabolization. Some liver conditions/diseases can increase SHBG. You need to find what has changed in your liver. Higher E2 increases SHBG and higher T levels decrease SHBG.
Your non-bioavailable SHBG has inflated your TT so that TT overstates your T status while FT is reduced.
Have you been in a tropical climate with associated diseases?
Has anyone actually looked at your blood under a microscope?
Post your waking and mid-afternoon oral body temperatures so we have them.
When things started to go badly for you, was that preceded by a blow to the head or whiplash?
Have you used an oral hair loss drug, steroids or prohormones?
Some react very badly.
Do you get leg cramps or can tighten a muscle and have it lock up? That is magnesium deficiency, see ZMA sold in this site’s Biotest store.
Are you Vit-D3 deficient?
When things go bad with one’s body, problems that your body used to ignore or tolerate can be significant.
Serum iron is affected by what you age the day before and should not be used alone to drive changes.
Labs:
TT=40H
FT=.49 midrange
E2
prolactin!
LH/FSH
SHBG - very high
CBC
hematocrit
AM cortisol - do at 8AM or 1 hour after waking up.
Take:
10,000iu Vit-D3
Magnesium
fish oil
100mg Ubiqinol form of CoQ10 - get the spelling correct, this is not ubiquinone.
Vit-C
natural source Vit-E
high dose B-complex multi-vit with trace elements including 150mcg iodine and 200mcg selenium
Energy levels affected by fT3, CoQ10, anti-oxidants.
You may not have an iron problem, need to see CBC and hematocrit. Ferritin is actionable. Serum iron is greatly affected by what you ate the day before so you cannot act on it alone. I have had low iron and high iron lab results and doctors running on that.
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.