A total testosterone in the absence of SHBG and free testosterone is an incomplete picture of what’s going on, free testosterone is the bioavailable hormone which circulates in the blood and is the only thing that matters, total testosterone is not bioavailable.
I’ve seen guys in here with a total testosterone of over 2000 and they have all the classic symptoms of low testosterone, the extremely high SHBG is binding the majority of testosterone and handcuffing free testosterone. Low SHBG men are quite the opposite, tons of free testosterone and lower total testosterone.
Your total testosterone if you go by averages for men your age, you are below average for your age group, at 35 your should be north of 600 ng/dL, hell I’ve seen 50-60 years olds in the 700-800 ranges and president Trump (age 72) is scoring in the 450’s.
Thyroid hormones mainly Free T3 speeds up every cell in the body and if low shares a lot of symptoms associated with low testosterone, it’s also challenging to find an up to date thyroid doctor who is knowledgeable enough to order the right testing, many doctors fail to test for the most active thyroid hormone Free T3.
A lot of doctors only test TSH and Free T4 and this is a mistake as there are some who have conversion problems in converting Free T4 -> Free T3 and some who are ill or have an autoimmune disease convert a lot of thyroid hormone to Reverse T3 stopping you in your tracks metabolically.
If your testicles are pulled up tight into your scrotum it means your testciles aren’t functioning properly, your LH is probably very low meaning your testciles aren’t being stimulated by the LH hormone secreted by your pituitary gland which would then be a diagnosis of secondary hypogonadism.
The majority of doctors are ignorant with anything related to sex hormones.
This is pretty much the consensus ->here.