Where are you located? Affects diagnostic and treatment options.
What is the time line for these issues?
How have fat levels progressed?
Headaches?
Panic attacks?
Social avoidance?
DHEA status should be evaluated with DHEA-S lab work and DHEA should not be checked directly as DHEA is released in pulses and has a short half-life. DHEA-S levels are a lot more steady.
Cortisol best checked as ‘AM cortisol’ done at 8AM or 1 hour after waking up. What time of day for your labs.
Please eval overall thyroid function via oral body temperatures, see below. Do you feel cold easily? Have you always used iodized salt to support thyroid?
Exact same range for LH and FSH?
IGF-1 is a bit low for your age, this is a measure of your GH status.
How are you sleeping?
List all medications, Rx and OTC.
What exposure have you had to toxins, fumes etc?
Any exposure to heavy metals or flame retardants?
Bromines?
List supplements.
Have you ever used an oral hair loss drug?
How has stress affected your life?
SHBG is oddly high.
SHBG is made in the liver and scavenges sex hormones. Some liver issues can affect SHBG levels. AST/ALT [both the same?] do not indicate liver issues.
Please double check that you note and respond to all points.
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.