What are:
- hemoglobin
- ferritin
- RBC
- hematocrit
With your digestive issues, there is a possibility of low iron levels driven by low level GI bleeds.
What medications?
What is your history of using iodized salt?
Sleep: Melatonin can help, but is wears off and dropping serum melatonin levels are the mechanism of waking up. Try to find a 5-6mg time release product. Trazodone prescription can be quite useful and low cost. Get 150mg tables and break off 50mg and take when you are getting ready for bed. You may need to increase to 75mg after a few months. Take magnesium and vit-C at bed time as well.
You skin may be incompetent from low T levels and TRT may resolve your skin issues.
Low thyroid function: Your body temps are not so bad.
T4 and fT4 are sub mid-range.
fT3 is very below mid-range.
Low ferritin can reduce fT4–>fT4 conversion
fT3 is the only active thyroid hormone
your rT3 result is very good
Larger doses of iodine will increase TSH, simply makes the TSH lab results un-useful.
Low dopamine can lower joy and satisfaction, perhaps a result of your party days. Trazodone might possibly be helpful a better sleep for sure.
Low E2 is not good. TRT will help that. E2 is low as low FT leads to less FT–>E2.
You seem to be good at reading here and did a great lab set.
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 numbers 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.