Low B-12 is an absorption problem. Do you use anything to lower stomach acid? Heartburn?
Time frame of 4-6 months: Did you have a blow to the head or whiplash prior to that? Have you ever used a hair loss drug? - 5-alpha reductase inhibitor?
You have secondary hypogonadism. There is no sign if primary hypodgonadism induced by varicocele and sometimes both testes might need to be affected.
In the stickies, please see the 2nd sticky to see if anything jumps out at you. The first sticky defines some of the terminology that will be unfamiliar.
Prolactin is near top of range an range upper limit seems quite low compared to other lab companies. Perhaps there is a prolactin secreting pituitary adinoma that is also reducing LH/FSH. This is not rare. A MRI is used to visualize, but some are too small to detect. The condition is easily managed with 0.5mg dostinex/cabergoline per week, so do not panic. Alternatively, a trial of dostinex to see if LH/FSH increases could be diagnostic and inexpensive.
Your E2 lab that reports <20 is not sensitive for male hormone work. Ask if a more sensitive lab is available.
There is a good probability that you will need TRT. So read all of the suggested stickies. Doctors are a problem and you need to be knowledgeable.
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.