Hello. I am 38 years old. I am 6’1 220, probably 20% body fat. I have always been a very positive, assertive, athletic guy. I noticed my sex drive and overall zest for life decrease about 3-4 years ago. I had all the symptoms of low T, so I went to my doc. My T checked out in the mid 600s at that time, so I thought I was fine. My PCP thought that I was going through a bout of depression, but I thought he was crazy. Around the same time, a co-worker noticed a lump on my neck. Ended up having a benign thyroid nodule. Had a partial throidectomy in 2014. My current symptoms are horrible sex drive (I have a very attractive wife and I would rather sleep than have sex with her). When we do have sex, I usually wake up around 3-4am with an erection. It is difficult for me to get a good erection most of other times. My wife gets very frustrated. I have lost my assertiveness and overall drive for the things I enjoy. I love hunting and fishing, but I have had a lost less fun doing it the last couple years. I also have lots of fatuige. I make no gains in the gym. I usually weight train 4 days a week. I have not added much weight to my major lifts in over a year. 2000-2500kcal a day. Usually around 160-200 grams a protein a day. I carry a lot of my fat on my lower belly and legs. I have a nice full head of hair. I have good facial hair, although I did have a bald spot on face that eventually grew back. I just knew I was not myself, so I seeked the help of a HRT clinic. They seemed very knowledgable, and recommend. I had my labs drawn, but my appointment with that doc isn’t until later in July. Current meds: synthyroid 75mcgs a day. I started supplementing with 5000 vitD and 1000mg of stinging neetle root due to my high SHBG. Have you ever seen an SHBG this high? Is there any hope for me? I think it is due to exogenous thyroid hormone, but not sure. Would exogenous testosterone help my symptoms?
TSH: 2.01 (0.450-4.5)
DHEA: 263 (102-416)
Total test: 659 (348-1197)
Free Test: 10.7 (8.7-25.1)
LH: 3.2 (1.7-8.6)
Estradiol 24.7 (8-35)
PSA 0.2
SHBG 81.3 (16.5-55.9)
My cbc with diff was all good.