Low cholesterol is a health risk and undermines the whole cholesterol-pregnenolone-DHEA-testosterone cascade. Steroid hormone - Wikipedia
Get DHEA-S tested to eval DHEA status. Do not test DHEA directly.
And you also need cholesterol to support cortisol and ViT-D3
Are you on an extreme low fat diet?
You need healthy fats and EFA’s.
Some simply have unexplained low cholesterol.
Your TSH is too high and is “normal” only because thyroid hormone ranges are stupid.
Most here have thyroid issues and most of the time as a result of not using iodized salt.
Please eval overall thyroid function via oral body temperatures - see below.
Do you feel cold easily?
Outer eyebrows sparse?
Gain fat easily? Can’t loose fat?
What is waist size?
With your TSH, even if TRT is optimal, would expect you to feel rather down in many ways at the symptoms of low thyroid function are mostly the same as low T.
Vit-D: Find 5000iu Vit-D3, tiny oil filled capsules, take 1 per day, 25,000iu for first 5 days.
You are mixed primary and secondary.
Any blows to the head? - can damage pituitary
Anastrozole is a competitive drug that as expected needs to match T levels. Split dose and take at time of T injections. Once a week is bad news.
Optimal for most guys is E2=22pg/ml.
50mg clomid 3x per week is absolutely horrible, typical stupidity.
Self inject T twice a week and take anastrozole at that time. Take hCG then or better, 250iu subq EOD.
hCG to avoid loss of fertility
You typically will not learn anything useful from doctors and often such info is dead wrong or stupid.
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.