Your TT is high and FT is lowish.
E2 is moderately high for your FT level
High SHBG is creating a lot of T+SHBG that is inflating your TT numbers, in this case, TT needs to be ignored in favor of TT or bio-T.
finasteride can have horrible effects on T and libido in a few males, do you see a change with timeline introduction of finasteride?
Please read these stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- things that damage your hormones
- protocol for injections - some good general info
- finding a TRT doc
You biggest challenge will be the doctors. You need to lower SHBG. Lower E2 lowers SHBG and higher active testosterone as well. TRT would help, but docs are the problem here. So that leaves lowering E2 and low dose anastrozole would help.
rT3 is a bit below mid-range. Body temperatures are decent. You might try getting more iodine and multi-vits should also contain selenium. Because you have not been using iodized salt, you are probably marginally deficient. See the thyroid basics sticky.
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SHBG levels increase with estrogenic states (oral contraceptives), pregnancy, hyperthyroidism, cirrhosis, anorexia nervosa, and certain drugs. Long-term calorie restriction of more than 50 percent increases SHBG, while lowering free and total testosterone and estradiol.
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AST/ALT - liver looks good. SHBG is made in the liver to grab steroid hormones and return them for metabolization. So something about your liver may be abnormal. Are you aware that you metabolize any medications differently or oddly? Is your alcohol tolerance normal?
Your training patterns may be stressing your body when your testosterone status is low. Thyroid can be like that too. Stress can be a problem.
SSRI’s have a bad reputation for interference with sexual function. So getting that out of your system would be a good idea. Taper off slowly, it can be a rough ride.
I do not think that DHEA was low enough to be responsible for any problems. But adding it may complicate things. A few guys will freely DHEA–>E2 with supplemental DHEA.