Your Free T percentage when Total T and SHBG are taken into account is a pathetic 1.38 % of which 2-3 percent is considered normal. So in your case TRT is worth it, the problem you face is the ignorant sick care doctors, even the so called hormone specialists fail at TRT.
Your elevated SHBG is binding up most of your testosterone, Total T isn’t bioavailable, Free T is the free portion of testosterone circulating in the blood and is low. A sick care doctor won’t be able to do much for you and since you’ll need very high levels, that kind of screws you and only a private doctor can help.
Insurance based doctors cannot allow Total T levels >800 and is what you require. Your best bet is to seek a private doctor that specilizes in TRT and not some ordinary doctor who will more than likely be clueless. If you’re going to run thyroid labs, you best test the free master thyroid hormone Free T3 which increases metabolism and body temperatures.
Thyroid isn’t optimal, TSH is too high, 95% of normal individuals have a TSH <2.5 closer to 1.0.
The evidence for a narrower thyrotropin reference range
It has become clear that previously accepted reference ranges are no longer valid as a result of both the development of more highly sensitive TSH assays and the appreciation that reference populations previously considered normal were contaminated with individuals with various degrees of thyroid dysfunction that served to increase mean TSH levels for the group. Recent laboratory guidelines from the National Academy of Clinical Biochemistry indicate that more than 95% of normal individuals have TSH levels below 2.5 mU/liter.
Reference ranges for TSH and thyroid hormones
First of all the distribution of TSH reference range is not normal, with median values (also depending on population iodine intake) usually between 1-1.5 mU/L. On the other hand, upper TSH reference limit is (assay-dependent) usually around 4.2-4.5 mU/L. There is also an argument that significant number of patients (up to 30%) with TSH above 3.0 mU/L have an occult autoimmune thyroid disease.