You want information, but you need to drink from a fire hose.
Please follow these links found here: https://forums.t-nation.com/t/about-the-t-replacement-category/38/2?u=ksman
- advice for new guys -- note requested info
- things that damage your hormones
- finding a TRT doc
- thyroid basics explained
I am concerned that you may have adrenal fatigue and elevated rT3. Search for those terms in the thyroid link above and also check your oral body temperatures as suggested there. It is important to get iodine and we need iodized salt for that.
Labs: - should be in list format with ranges
fT4 [please not T3, T4]
AM cortisol [at 8AM]
When do you feel that your hormones went bad?
Does that coincide with the business stresses or predate?
A urologist will quickly run out of knowledge and urologists as a group are not very good at TRT. But very few doctors are. Finding a TRT doc is the problem. Endocrinologists oddly enough are also quite bad at these things. But getting a good doc is critical. See the finding a TRT doc and backtrack from a compounding pharmacy as they know who is doing what.
Get 5,000iu Vit-D3 caps, tiny oil filled. Take 25,000 for 1st 5 days then 5,000 thereafter.
You have secondary hypogonadism. We know that elevated prolactin is not a cause. How E2 is contributing is not known. Other than that, your pituitary might have a [non prolactin secreting] adinoma or damage from a blow to the head or a simple stopped working correctly.
There is a lot more going on than T, do not tunnel vision on T as the only thing that will fix you.