We need to know you location as it affects your diagnostic and treatment options.
Do you get leg or foot cramps? Can you tighten a muscle and have it lock up? That is a sign of magnesium deficiency. Magnesium affects muscle tone and nerves. Arteries have muscles and low magnesium can increase blood pressure. Look at this site’s Biotest store product ZMA to see what to have in a magnesium supplement. This might tie into raynauds as a contributing factor.
Estradiol=144 is high, we like to see E2 managed near E2=80pmol/L in TRT guys.
S Prolactin - 224 mU/L Range (11.4-27.9)
Wrong range… if <425, 396 starts to look high
Both E2 and prolactin are LH/FSH repressive in your HPTA.
We do not know your free T [FT], bio-T or SHBG levels.
Any other issues?
irregular/unsteady heart beat?
List your supplements?
Do you use iodized salt or vitamins listing iodine+selenium - history needed
Most need 5000iu Vit-D3 to get ~optimal Vit-D25 levels. Vit-D25 is an essential hormone made in your body from Vit-D3. Do you have issues in the winter time when sun exposure is low?
FSH is a better indicator of LH status than LH itself and provide better consistency.
Do you have any idea if any of these doctors show willingness to do the right thing concerning TRT, most are dismal.
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.
TSH should be closer to 1.0, the lab ranges are quite useless so normal means little.
Do you get cold easily?
Are your outer eyebrows sparse?
Do you have dry skin?
Please eval overall thyroid function via oral body temperatures - see below.