Where are you located? - affects treatment and diagnostic options.
At your age an effort needs to be made to try to identify the cause of your low-T.
Please post other labs, normal or not.
Your SHBG is very low and sometimes associated with diabetes.
When do you feel this problem started? - one year ago
Was that preceded by a blow to the head or whiplash?
Have you used any oral hair loss drugs, even one dose?
Have you used any steroids or pro-hormones?
Any pain or ache in your testes?
Has doc examined your testes?
Have your testes become smaller or do not hang like they used to?
Have you stopped growing taller?
You should not have been on any TRT before LH/FSH tested.
Do you have that?
When LH/FSH is low, that is secondary hypogonadism and then Prolactin should be tested as a possible cause. You do not want to miss treating that if it is there.
Many guys your age arrive here.
Most guys who come here have some thyroid issues, but the labs would be normal, the lab ranges are stupid. Often the cause is iodine deficiency caused by not using iodized salt. Please comment on history of using iodized salt and see below re reporting oral body temperatures that tell us about your overall thyroid function. And bonus points if you are one of the few who actually notice the requirement for temperatures at two different part of the day.
Your doctor is probably an idiot when it comes to hormones, you have lots of reading to do. Passive is not an option. At your age, TRT must include hCG injections to preserve fertility and the testes. Most docs are clueless about that. You will also need to manage your E2 [estradiol] levels with an oral medication, anastrozole, as required.
There are few great docs out there, some are luck to find one fist time, for others it can be a struggle, there is a sticky for that.
You absolutely need to be on TRT, but we need to get diagnostics done first - this time.
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 Aand 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.