Twins, 50+ hour work week, you’ve got your hands full.
If thyroid levels are below normal, please explain why treatment is failing or maybe it’s not the treatment that is failing, maybe it’s the… Free T3 should be midrange or higher and Reverse T3 <15 ng/dL or else Free T3 will pool and Reverse T3 will block Free T3 from getting into your cells. Please include reference ranges, I have no way to measure your free testosterone value against the top and bottom value.
Total testosterone is low, low enough to put you at high risk for cardiovascular disease.
Testosterone Threshold for Increased Cardiovascular Risk in Middle-Aged and Elderly Men:
These data showed that a testosterone threshold of 440 ng/dL was associated with increased Framingham 10-year CVD risk in middle-aged and elderly men. Poor sexual performance, decreased morning erection, and loss of libido had an impact on the testosterone threshold for CVD risk. The threshold level was higher in men with sexual dysfunction. Further study is required to evaluate the validity of these testosterone thresholds for CVD risk.
Sick care doctors unfortunately do not know how to help, uneducated in sex hormones and they often prescribe outdated protocols do to old guidelines in need of updating. Most are clueless and useless and only good for getting the prescription filled, you will have to figure out everything, dosage and injection frequency which should be two or more times per week depending on SHBG levels.
TRT will not work when there are low thyroid hormones, optimal levels are needed to metabolize testosterone in the liver. TRT will not do much for you with suboptimal thyroid hormones, more symptoms are expected. It’s common for thyroid doctors to underdose their patients, perhaps what you need is a specialists who care about a state of optimal health.
FSH is related to sperm production and is the ultimate predictor of health status, you wouldn’t expect older men to have high testosterone or healthy sperm count, you would expect low testosterone and low sperm count.
If LH is low and testosterone low, the diagnosis would be secondary hypogonadism. High LH and and testosterone low, the diagnosis would be primary hypogonadism ~ testicular failure. We live in a world filled with chemicals, poor sleep, excessive work hours, processed foods and it’s degrading our quality of health.
The medical community turned it’s back of steroids 70 years ago, there is a lot of stigmata surrounding TRT in the medical community and is why few doctors are good at TRT and there is no TRT specialists in medicine.
There are those who have learned a few tricks, those private doctors who treatment with hormonal issues and unfortunately do not take insurance. If looking to go on TRT, it is home to anti-aging and sports medicine.