What you describe sounds like a natural consequence to low SHBG. Low SHBG is sometimes seen as just the way some guys are, but low SHBG can also be a consequence of diabetes. SHBG is made in the liver to scavenge sex hormones from the blood. SHBG increases with increased E2 and decreases with increased FT. So there is a self sustaining effect possible.
You should self-inject 50mg T twice a week to get smoother levels. With every other weeks, levels get very high then decrease a lot. Then your lab results are mostly a function of lab timing and such lab results are quite meaningless.
Please read the stickies found here: About the T Replacement Category
- advice for new guys - need more info
- 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.