32 years old. 5’09 200 lbs. I have excess fat in my stomach area. Not in great shape right now. Plenty of body hair and thick beard. Been on TRT for approx 5 years. Current protocol is I inject every other day (EOD) in my deltoid with an insulin syringe. (I am taking 200mg a week). My test oil is 200mg test cypionate and 50mg of test propionate per mL. So I am taking a mix of test cyp and test prop, for a total of 200mg a week. I have never taken any hCg or AI with my test.
Lately I have been having issues with my libido and energy levels. I also have pretty severe acne on my back, shoulders and upper arms. I have had this acne for several years.
Here are my blood test results, with included ranges:
test, total (MS): 1045 (range) 250-1100 ng/dL
test, free: 328.7 (range) 35-155 pg/mL
estradiol, ultrasensitive LC/MS: 41 (range) < or = 29 pg/mL
TSH: 4.86 (range) .40 - 4.50 mlU/L
t4, free: 1.2 (range) .8 - 1.8 ng/dL
t3, free: 3.6 (range) 2.3 - 4.2 pg/mL
SHBG: 14 (range) 10 - 50 nmol/L
DHEA-S: 514 (range) 106 - 464 mcg/dL
DHT: 56 (range) 12 - 65 ng/dL
prolactin: 14.2 (range) 2.0 - 18.0 ng/mL
cortisol: 18.1 (range) 4.0 - 22.0 mcg/dL
progesterone: .9 (range) < 1.4 ng/mL
ferritin: 47 (range) 38-380 ng/mL
I have a lot of questions about my high TSH, high DHEA and low SHBG. Also my free test seems to be extremely high. Is my E2 at 41 concerning?
Thanks for taking the time.