fT4 - 0.87 (normal: 0.70-1.48)ng/dL
T3, T4, fT3, fT4 should be mid-range or a bit higher.
fT4 should be near 1.09
fT4 is low
You increased TT, but hematocrit went down. I am concerned that there is then a possibility of a GI bleed. Any digestive issues or food sensitivities? You can request an occult blood test that will provide a good answer.
RBC - 4.16 (normal: 4.14-5.80) x10E6/uL
- also seems low VS your T levels!
- TRT typically increases RBC and hematocrit
Are you using iodized salt [long term]? Iodine+selenium in your multi-vits?
AST - HIGH 52 (normal: 15-37) U/L
ALT - 74 (normal: 12-78) U/L
These are rather high. They can be elevated from sore or damaged muscles from training. The concern is that the liver might not be clearing estrogens properly. We do not have FT, E2 labs either.
Minimum TRT followup labs:
Keep an eye on this:
AM cortisol [tested at 8AM] - 22 (normal: 7-25) mcg/dL - seems rather high
So retest AM cortisol and also test DHEA-S, another adrenal hormone.
You have not tested Vit-D25
You can take Vit-D3 5,000iu per day then test Vit-D25 at a later date.
Vit-D3 is converted to Vit-D25 which is a very important hormone.
Energy and metabolic rate:
The key factors are typically T, E2, thyroid function and cortisol. Your T is greatly improved, but could still probably be higher. We need more complete labs to see whats going on with E2 and FT. Your cortisol does seem rather high. So that is not whats reducing your energy.
You should make sure that you are getting lots of health fats in your diet and should also get lots of essential fatty acids which can be nuts, fish oil and flax seed meal/oil.
Get that occult blood test and respond re digestion issues.