You have a low T result. Now you need some diagnostics to learn more.
Labs:
TT=380 250-1000
FT=58.5 35-155
LH/FSH - must be done before any TRT measures
prolactin
CBC
fasting cholesterol - can be too low
DHEA-S
Many/most who come here have some thyroid function issues.
What is your history of using iodized salt to support thyroid?
Do you get cold easily?
Outer eyebrows sparse?
Any generalized hair thinning? - not male pattern baldness
You need to provide oral body temps, see further on. You get a gold star if you are one of the few who actually understand that temps from two different times if day are needed.
If body temps are low:
Introduce iodine and selenium if have not used iodized salt.
Add these to list of labs:
- TSH
- fT3 - the only active thyroid hormone
- fT4 [not T3, T4] get doc explicit agreement
And
Have you lost hair below your knees?
What medications? OTC and RX - history
Any blows to the head when young? - can damage pituitary
Provide answers and double check you got them all.
Get those labs, needed first.
Lifestyle does not work.
Need to know where you are, affects treatment and diagnostic options.
If facial hair is sparse, TRT will complete virilization to your genetic potential.
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.