SHBG is high when E2 is low, should be opposite. High SHBG is creating more non-bioavailable SHBG+T that lowers FT and inflated TT so TT overstates your T status.
Thyroid is a problem, the lab ranges are not helpful.
TSH should be close to 1.0, 1.17 is OK/
T4, T3, fT4, fT3 should be mid-range or a bit higher.
fT3 is the active hormone and not tested.
TPO is high, this may be from a selenium deficiency, you should find a high potency B-complex multi-vit with trace elements including 150mcg iodine and 200mcg selenium.
Please provide history of using iodized salt. Yes this is important.
Eval overall thyroid function, see a paragraph further down.
You have secondary hypogonadism with low T and low LH/FSH. The cause is not from elevated E2 or prolactin. Any blows to the head?
Training with low-T and thyroid problems with young guys often involves low natural energy and adrenalin compensating for this. That can cause problems with the adrenals then elevated rT3 that interferes with fT3.
You may need TRT and please note that you will need to take steps to protect your testes and fertility. Many times we see doctors fucking this up. You need to be proactive in your hormone health care, passive fails most of the time.
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.