Recently turned 30 so I decided to get my test levels checked in order to establish a baseline and to determine if it might explain the way I’ve been feeling for the last year or so.
Have been experiencing a number of low T symptoms, which include; irritability, fatigue, cognitive impairment, lack of interest, low mood… although I don’t seem to be affected in terms of sex drive or erectile problems.
Blood was drawn fasted at 8:00 am.
Testosterone: 503.47 ng/dL (range: 229.00 - 902.00)
Albumin: 4.4 g/dL (range: 3.5 - 5.3)
SHBG: 48.1 nmol/L (range: 14.5 - 48.4)
Free Test (calc): 8.24 ng/dL (range: 2.62 - 16.7)
Bioavailable Test: 197.0 ng/dL (range: 51.7 - 392.0)
***** Additional Results Following Advice ******
blood again drawn fasted at 8:00 am
Serum Iron 63 ug/dL (45-182)
Ferritin 79.30 ng/mL (23.9 - 336.2)
TSH 6.062 uIU/mL (0.38 - 5.33)
Free T4 0.80 ng/dL (0.54 - 1.4)
Free T3 2.68 pg/mL (2.5 - 3.9)
FSH 2.63 mIU/mL (1.27 - 19.26)
LH 3.13 mIU/mL (1.24 - 8.62)
E2 45 pg/mL (<20 - 47)
PSA 2.610 ng/mL (0 - 4)
Seem to have a number of different issues cooccuring. Not sure if I should target one at a time and work through them methodically or to try and address all at the same time? Is it generally best to try and get your thyroid sorted first before going down the TRT route or could addressing both simultaneously be beneficial?
High TSH would indicate hypothyroidism. Will get my antibodies tested, but still trying to find a lab that can test rT3 or iodine. Is blood iodine generally the way to go?
Could I also be borderline anaemic?
Lowish FSH and LH would suggest secondary hypogonadism?
E2 also looks a little high?