Please obtain oral body temperatures first thing in the morning and mid afternoon. Your infrared thermometer may not be accurate enough.
Do not expect doctor to have concerns re thyroid. The lab ranges mean that almost doctors are blinded.
With lower SHBG there is less non-bioavailable SHBG+T inflating your TT and TT=222 is understating your T status.
You do need TRT.
Your body weight fat may be partly the result of thyroid issues.
A1C is good and TRT and working your thyroid can only make this better.
With TSH=3.39 you may not be able to effectively absorb T gels or creams and self-injected T is your best option.
With low FT we then assume/expect FT–>E2 to be low and E2 lab results are then expected to not be high. Thus your low LH cannot be expected to be attributed to the effects of E2 or prolactin.
Discuss your history of iodized salt use. If not in the house everyone there is affected.
Read the advice for new guys and protocol for injections stickies before you see the doctor. Write down what you want to do and hand it to him/her.
- Self-inject 50mg T twice a week.
- 250iu hCG subq EOD to preserve testes [if you care]
- 0.5mg anastrozole at time of injections, adjust after E2 labs to get near E2=22pg/ml
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 number 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.