Now that you are clearly secondary hypogonadism [low LH/FSH] there is a need for further diagnostic labs to learn about the cause. Prolactin should be ordered and if that is elevated a MRI is thrn used to visualize the adinoma that must be treated. If ignored can get large and press on optic nerves. This is easily managed by 0.5mg /week Dostinex/cabergoline. A blow to the head can damage the pituitary as well. There can be other types of adinomas as well, prolactin is most common.
Are you shorter or taller. Early puberty can lead to lower stature.
Have you ever taken any hair loss oral medications?
It will be a struggle there to get proper TRT, most doctors fail and your health system discourages independent thinking.
Have you lost hair on lower legs? Low-T can do that, often see on older men.
You need iodine and must get a supplement with selenium as feeding iodine to a selenium deficiency can create real hard. Find a high potency B-complex multi-vit with trace elements including 150mcg iodine and 150-200mcg selenium?
Getting much sunshine or you need to take Vit-D3?
Evaluate you overall thyroid function via oral body temps as discussed below. This is very important.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- 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 and 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.