Just wanted to get some views on my bloods and what the right next steps are - below I’ve given my stats, history and lab results which I just received. The main thing to note is the elevated SHBG levels and the low-ish free T levels, despite high/normal total T levels.
Specifically, I’m wondering if based on this information you think TRT is right for me (I was told in these circumstances it can be used to drive down SHBG levels and drive free T levels up, and so it might be recommended to me but they haven’t decided yet) or if some other treatment is appropriate, or if I should be doing further investigation?
I’m 23 y/o male, 5’11"/180 cm, 58 kg / 128 lbs (I’ve always been very slim), waist 28". Not very hairy; can’t grow a beard etc and fairly light body hair.
In terms of my health, I have a condition called POTS (relates to poor blood pressure regulation), digestive issues and food intolerances, and I have had anxiety as long as I can remember. I have Joint Hypermobility Syndrome / EDS, and (I think linked to this) I also have pelvic floor issues accompanied by a condition called ‘hard flaccid’, which other than its namesake, also causes issues such as poor erections / lack of morning wood, urgency to urinate, mild pelvic pain after sex, etc - which is all exacerbated by anxiety as well.
In terms of my symptoms, I have a poor libido, general lack of interest in a lot of things I used to love, poor motivation, terrible attention span, poor erections, rarely get morning wood / nocturnal erections and only occasionally get spontaneous erections - though as above I’m unsure to what extent that relates to my pelvic floor issues / ‘hard flaccid’ or T. But the labs suggest T is could be a factor. I’ve had these symptoms for up to 5 years now, with varying severity over that period.
In terms of diet, I eat a fairly simple diet due to my intolerances, mostly based around meat, nuts, veg, simple carbs - generally high in proteins and fats, with moderate carbs.
In terms of exercise, I swim twice a week, and most mornings I do 15 mins or so of exercise (stretches, sit ups, push-ups, etc.).
See lab work in the images. Would be very interested in any thoughts on what the problem is and any advice on solving it. Thanks very much!