Range for E2 is wrong. Probably <42
You are estrogen dominant. Lowering E2 with 0.5mg anastrozole per week in EOD divided doses may be helpful.
Labs for ALT/AST are useful. Your ALT=54 suggests that liver might not be clearing estrogens effectively.
any Rx or OTC drugs/supplements?
fT3, fT4 should be mid-range
fT4 should be 1.25, fT4=0.86 is low
Where is TSH data?
IGF-1 is low for your age suggesting GH deficiency. At your age, this is not age related decline. A MRI might find an issue with your pituitary.
Testing LH/FSH will point to your pituitary [secondary hypogonadism] or testes [primary]. Is secondary, MRI may find a poroblem with your pituitary.
Please post more labs, there is more to your case than T etc. You need to find the cause of your low T.
You can test prolactin and if elevated, get an MRI.
With TRT, you will/would need anastrozole to manage E2 levels!
Read these stickies:
- advice for new guys
- thyroid basics
– have you always used iodized salt and/or vitamins that list iodine? - else iodine deficient.
YOU MUST CHECK LH/FSH before starting TRT !!!
- post more labs
- respond to iodine and body temperature issues
- test LH/FSH
- why is ALT elevated?
- test prolactin and MRI if elevated
- read those stickies