TSH looks OK, but thyroid is more complex that that. You can and should self-eval overall thyroid function via oral body temperatures as discussed later on.
Your E2 lab range seems very odd, way to high/broad.
Was range meant to be <39 and not <89?
Low thyroid function drives fat gain, more fat means more T–>E2 aromatization, more E2 means less LH/FSH and less T, less T means more fat gain. More E2 and less T both tend to drive up SHBG.
FSH is probably a better indicator of average LH status than LH itself. High E2 can lower LH/FSH and increase SHBG then you get more non-bioavailable SHBG+T that lowers FT while TT then overstates your T status/
With assumed FT, FT–>E2 production would be low and then an explanation for elevated E2 would be reduced liver clearance which can be from liver issues or drugs/meds interfering with clearance of E2.
Elevated prolactin can lower LH/FSH but labs do not support this. What is your history of blows to the head or heading balls?
Please review the things that damage your hormones sticky.
We see many guys here in your age group with similar issues.
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.