Late 40s, Libido Gone. Bloodwork Inside, Thoughts Appreciated

fT3 is the active hormone. fT3 and fT4 should be near mid-range or a bit better.
TSH should be closer to 1.0

You will need more than iodized salt. See the thyroid basics sticky and get selenium too.

SHBG is high, creating a lot of T+SHBG which inflates TT and TT is thus overstating your T status. FT is pulsatile and we can’t know if you caught a high or low etc.

Some blood abnormalities can be from GI blood loss. A simple occult blood [stool] test will rule that in/out. Had your lower intestine scoped, colonoscopy?
E2 does not explain SHBG. TRT with high T and E2 near E2=22pg/ml would be helpful.

Get KAL brand progesterone cream at USA amazon and apply to inner arms. This is one step away from cortisol and will help. No Rx needed in USA for this.

Muscle cramps indicate magnesium deficiency.

Please read the stickies found here: About the T Replacement Category - #2 by KSman

  • advice for new guys
  • things that damage your hormones
  • protocol for injections
  • finding a TRT doc
  • thyroid basics

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.