Those numbers are no good and labs are inadequate (no ranges), TSH isn’t a thyroid hormone so no one knows for sure how your thyroid is performing unless you check Free T4, Free T3 and Reverse T3. Obviously you doctor is underperforming by a lack of proper testing. You are lower than the average man at age 30, on average men at 30 years old score in the 600-800 ranges.
These data showed that a testosterone threshold of 440 ng/dL was associated with increased Framingham 10-year CVD risk in middle-aged and elderly men. Poor sexual performance, decreased morning erection, and loss of libido had an impact on the testosterone threshold for CVD risk. The threshold level was higher in men with sexual dysfunction. Further study is required to evaluate the validity of these testosterone thresholds for CVD risk.
Total testosterone of 440ng/dL: Lab ranges vary by lab, low around 250 and high 850-1100. Total T of 440 for a 30 y/o is not very good.
Free testosterone of 31.41 pmol/L? Are you certain? That converts to 8.55 pg/mL, very low. Ranges (pg/mL) again vary, around 35 low to 155 high end. You want high end.
TSH of 1.963: Not bad, Range 0.4 to 4.5. Numbers closer to 1.0 better than higher. The real story is your free T3 level, secondary to that free T4 and reverse T3.
Estradiol of 24 pg/mL: Within range, which vary for 0 to 29-39, dependent upon which test is utilized.
As mentioned above, you’ll need more thorough lab work to tell the entire story.
Determine if there is a reason yours is low. Obesity, diabetes, sleep apnea, high triglycerides, hypo thyroid are possible factors, so fixing any of those will help.
Optimize thyroid, that will increase SHBG. Low fat diet, which will increase insulin sensitivity, green tea, coffee might help. Not sure if any of it will be enough to make a difference though.
Increasing testosterone by getting your diet spot on will increase testosterone,but it won’t be dramatic to the point where you’ll go from low normal to high normal Free T.
You Free T suggests SHBG is about midrange or possibly higher. I have low T symptoms at 15 pg/mL.
Probably because it would increase insulin sensitivity. If obesity is the reason, or a reason, for low SHBG losing visceral fat would help.
Actually, I don’t think many have made dramatic changes, at least not enough to make a difference, with diet and supplements, though some have. Myself, I am kind of a “just take testosterone” guy.