Very important to get selenium with your iodine!
A multi-vit with trace elements including 150mcg iodine + 200 mcg selenium would be good.
AST/ALT easily elevated by sore or none recovered muscles. Stop training and recover for next lab work.
No known problem with low prolactin.
Low FT means low FT–>E2 so that is why and hot flashes.
Training in your state with low T and ??? thyroid function may be creating harm by stressing adrenals, a serious outcome.
TSH is too high, near 1.0 better, need you to check oral body temperatures, see below and post.
To attempt to lower SHBG:
Higher dose TRT, with anastrozole to get near E2=80pmol/L
SHBG is made in the liver to scavenge sex hormones, normally promoted by estrogens and decreased by free/bio testosterone.
Your frequent urination is a symptom. While diabetes can cause frequent urination, lower glucose contradicts that. A1C would be very definitive. Also can be prostate issues and while not age related BPH, prostatitis is a possibility. Google prostatitis and see if your doc can investigate or send you to a urologist. Any other symptoms down there.
You should pursue TRT with haste and make sure that you read everything that I have suggested.
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.