At your age, TRT before some more diagnostics is incompetent.
LH/FSH - essential that this be tested before TRT, cannot be done afterwards.
fT4 [please not T3, T4]
Many here have low thyroid function, often from not using iodized salt to support production of thyroid hormones that are mission critical for energy, mood and libido. However low T has the same effects.
You can self eval overall thyroid function by checking oral body temps as per the thyroid basics sticky. If good, you can skip labs TSH, fT3, fT4.
Testim has very high cost and unsuitable if training, sweating, showering. Not safe around kids as it can transfer. Self injected T is least cost, least E2 potential. Transdermals have highest E2 potential. Transdermals are typically very poorly absorbed if there are thyroid problems and non-absorption is a symptom of thyroid issues.
@KSman I just received the results of my full workup. If you wouldn’t mind taking a look I’d appreciate it. My doc is suggesting I wait on replacement therapy now unless I feel the symptoms warrant treatment:
-describe body and facial hair: Some hair on chest (hasn’t changed since high school). Facial hair grows in full.
-describe where you carry fat and how changed: I’ll just post a pic
-health conditions, symptoms [history]: Some brain fog, some fatigue, and my libido has decreased enough to notice, but not that much. No othe health issues.
-Rx and OTC drugs, any hair loss drugs or prostate drugs ever: None
-describe training [some ruin there hormones by over training]: I had been working up to maxes multiple times a week, but have switched to mostly 5/3/1 and now CT’s strength circuits. Usually 4 days a week w/ light walking 3-4 days and some HIIT (maybe 1-2 days a week).
-testes ache, ever, with a fever?: No
-how have morning wood and nocturnal erections change: Morning wood is less often, but still occurs regularly.
How soon can you post waking and mid-afternoon temperatures.
There can be problems if you have not been using iodized salt.
What are your energy levels like? When you workout, is it natural energy or you have to call up adrenalin?
What are your stress levels like? Major stress takes away your energy?
Your fat levels can be from low T or low T and low thyroid function.
Your HDL is too low:
B-complex multi-vits with trace elements and iodine+selenium, without listed iron.
EFA’s:Fish oil, flax seed oil/meal, nuts
do not take above two items with high fiber foods
Vitamin C, 1000 - 2000 mg per day
Total serum protein is a bit low, probably from low T.
E2=27 with your low T levels makes you quite estrogen dominant.
Not obvious what is going wrong. Do not have prolactin labs to rule that in or out. Do not have body temps to eval thyroid function. TSH=160 does leave some room for thyroid issues and thyroid issues are frequently seen here with secondary hypogonadism.
AST/ALT may have some mild elevation from training effects on muscles.
You would really do a lot better on TRT, if you can get a doc to do T+AI+hCG.
But at age 30, you probably should look deeper for a cause. No testicular ache can rule out severe some vascular problems with testes. Prolactin is unknown. Any reduction of width of peripheral vision, should be ! 180 degrees.
Your training opens the door for adrenal fatigue induced by over training and low T and low thyroid function would simply pour gasoline on that fire.
It is time for a discussion of your fertility, how many kids you have now and need to preserver fertility while on TRT.
Read the thyroid basics sticky.
Selenium in your vitamins is essential and critical.
More to the point, get a thermo that you can trust - by seening that others can hit 98.6F with it. You cannot have been talking, drinking, waking etc for a while before using oral thermo, 1st thing in AM is easy.
Remember that iodine is very important for wife and kids too. Iodine intake needs to be higher during pregnancy and breast feeding, prenatal vitamins have higher amounts.
Thanks, KSman. I took the oral temp this morning while lying in bed, but it is an older thermometer so I’ll have the wife test it. I also ordered a thyroid support supplement with Selenium and a small amount of iodine that should be here today. The wife is on prenatal vitamins now. I’m also planning to grab an additional iodine supp since what i bought is only 150mcg (IIRC).