Hey man, received your PM on the other website. Responding here.
With the risk of sounding like a broken clock as per my post history and the other topic on this forum. It seems quite apparent that the issue may have been the diet. “Clean but not a lot of veggies” isn’t enough
What people refer to as “adrenal fatigue” is purely carb-related. Thyroid imbalance is a downstream consequence from faulty cellular metabolism IMHO. You tested everything under the sun but unfortunately we don’t have fasted insulin. Doesn’t make me think much better of Dr McClain, unfortunately! Plus, fasted insulin is dirt cheap.
I wouldn’t be surprised tho, if insulin had come back low. More insulin lowers SHBG. This would have more carbs yielding total T and DHT down to slightly lower levels, but also more free androgens balancing out the estradiol.
Basically you probably had a very good carb metabolism but was undereating. Internet-created carb phobia / orthorexia? High stress or low stomach acid leading to a poor digestion? Your liver semeed fine.
Thyroid T3/rT3 ratio is massively impacted by… carbs. Or rather, glucose, and insulin.
I don’t believe you needed a TRT, at all, especially at that dose for those results. Could be too late now, could be beneficial to approach the Defy Medical Doctors I told ya about, and talk to them about my ideas here. You might end up feeling great on very low dose Clomid/Enclomifene if you can get it in the US, rotated in and out throughout the year, and LOTS of carbs. You’re a big boy, eat like it!