This is getting a bit low, noting your note re one hour after rising.
TSH should be closer to 1.0
T4 is way below mid-range.
best to test fT3, the active hormone, and fT4.
These are obsolete:
- T3 uptake 30% (24-39)
- Free thyroxine index 2.0(1.2-4.9)
Body temps to not need to very low to cause problems.
FSH is too high relative to LH.
Testicular cancers release FSH.
When/if he starts TRT, that will repress pituitary LH/FSH and they should -->zero. On TRT, he should test LH/FSH and if FSH is not low, there is a problem. Testicular cancer is not rare. FSH secreting pituitary adinomas seem to be very rare so that concern can be set aside for now.
Many aspects of CBC are inline with expectation with lower T levels.
Please do not take fasting cholesterol any lower.
Is he using a statin drug?
Labs suggest a small degree of dehydration for the lab work.
Lack of iodine is probably contributing to lower energy and mood, as is low-T. You both are iodine deficient to some degree. What are your body temperatures? You both need iodine and need multi-vits that have trace elements also including 150-170mcg iodine and 150-200mcg selenium.
Women need more iodine than men, and also develop more thyroid problems. Iodine is important for breast tissue and in some cases fibrotic breast disease can develop. While avoiding coffee and caffeine is known to help that, the primary problem is iodine and then that implies coupling with thyroid function.
If he has been Vit-D3 deficient, you may be too.
DHEA seems high for his age.
LH/FSH imply that the testes are not working well. hCG or a SERM alone are not going to get the job done. I strongly recommend self-inject T, some hCG to preserve testes to prevent shrinking and anastrozole to manage E2 near E2=22pg/ml. With TRT you need to watch FSH!
His improved quality of life will impact your QOL.