There are some good stickies. Read them all. [Two are a mess from getting hijacked.]
As explained in the ‘protocol for injections’ sticky: Some do not absorb transdermal T very well. Often when that happens we find an underlying case of hypothyroidism. The thyroid labs that you have now look good, but there could still be a functional hypo situation if rT3 is high and/or ferritin is low. With your gut problems, you should check your ferritin level.
Some never absorb, some do for week or two then stop. When there is poor absorption, the T can convert to a lot of E2, making one feel worse than before they started transdermal TRT.
E2 monitoring is important and most need E2 management for an optimal response and quality of life. You need to test TT, FT and E2. Also test DHEA-S.
If 40 or older, you need to track CRP and should have a pre-TRT baseline. And a DRE before TRT, then at 6 months and once a year after that.
Entocort can have systemic effects for some even though it is well targeted for action mostly in the gut. Do you have any side effects? Skin changes or changes to body shape?
When do you think your T levels started to decline?
What else happened at that time or preceded? Accident or blows to the head?
Any reduction in peripheral vision?
Why were the T tests done?
Do you get cold easily?
Are you using iodized salt?
Taking fish oil?
What other Rx or OTC drugs? -these can affect hormones?
How do you cope with major stress situations and how has that changed?
Testes ache now? Ever had a fever where your testes ached?
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