TSH is too high, should be closer to 1.0
Thyroid labs are insanely wide and misleading.
TSH can be elevated from not using iodized salt and/or vitamins that list iodine+selenium
You can eval overall thyroid status by checking oral body temperatures as per the thyroid basics sticky. This is important.
Please read these stickies: https://forums.t-nation.com/t/about-the-t-replacement-category/38/2?u=ksman
- advice for new guys
- things that damage your hormones
- protocol for injections
- thyroid basicss - check body temperatures
- finding a TRT doc
The biggest problem there is NHS and doctors who are not able or willing to get beyond herd mentality.
You have never been fully virilized, indicating that T levels have always been low. So if we can identify and fix a cause your improvements are capped at historic levels.
You could get prolactin tested to see if that is a long term cause.
Low thyroid function can lower T.
Low thyroid function can be:
- lack of energy
- fat gain and/or inability to loose weight
- feeling cold easily
- mood/depression problems
- enlarged thyroid, sore, lumpy
- generalized hair thinning, brittle hair or nails
- sparse outer eyebrows
Vit-D25 or take 5,000iu Vit-D3 per day, easy to be deficient in UK
AM cortisol, at 8AM please
IGF-1 to eval GH status
FSH so very low, suggest that you retest LH/FSH
E2 - estradiol
You can check your salt container and advise re iodized salt consumption now.
Report oral body temperatures ASAP.
How is stress a factor in your life?
Major stress events, illnesses etc?