Doc may be looking for a cause. Really need to have LH/FSH before any TRT was done.
Prolactin can be tested and if elevated, MRI is medically justified. He may be stupid, or wisely retrospectively looking at what caused T to drop; because diagnostics were bungled by others.
TSH should be closer to 1.0
fT3 is below mid range.
Do you use iodized salt?
If you eat your restaurant food and do not use iodized salt, there is your problem.
Would other family members be in the same boat?
Please follow these links to old stickies, 2nd posts of 1st forum topic:
- advice for new guys
- things that damage your hormones
- protocol for injections
- thyroid basics explained --- Check oral body temperatures as suggested
AM cortisol [ at 8AM please ] if above was not at 8AM, please indicate
hematocrit [you may have this]
Following assumes that you are injecting twice a week for the lab work, otherwise, ignore.
If injecting 200mg/ml T, you are injecting 100mg twice a week and T levels are mid range.
In any case, you should double your T dose.
Some guys are hypermetabolizers of T.
Do all lab work 1/2 way between injections - aways, so lab changes are not lab timing artifacts.
When you double T dose, E2 may need anastrozole management.
Your stress is a freight train coming done the track at the restaurant. Add other life stresses and business stress and stir. If body temps are low, can be low iodine and also elevated rT3 that blocks fT3. Driving through these impediments with will power can make this problem worse. See the thyroid link and find references to stress, iodine, rT3, adrenal fatigue. Your cortisol may be low and that also lowers energy levels.
Your low insulin merits further investigation: