You have secondary hypogonadism. Any pains in your testes?
E2, estradiol not tested, but with low FT, E2 will be low.
Low SHBG is sometimes seen with diabetes. Fasting glucose and A1C OK? Are you overweight?
Many guys who come here also have low thyroid function, see below to self evaluate.
Self inject 50mg T eth/cyp twice a week
To preserve testes: 250iu hCG subq EOD
Most will need 0.5mg anastrozole at time of T injections.
Total 100mg T and 1.0mg anastrozole per week.
SHBG in your case
PSA !! - should have been done prior to TRT
If body temperatures are low:
fT4 [please not indexes etc or T3, T4]
Do not test LH/FSH again as these -->zero
Please read the stickies found here: About the T Replacement Category
- advice for new guys - need more info about you
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body’s temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.