28YO - Super Low Energy, No Interest in Women + Sky-High E2

Just do body temps, waking and mid-afternoon
Eyebrows say things are OK, feeling cold does not.
TSH=1.6 indicates something is up.

Do not need PSA.

Some guys freely convert DHEA–>E2 inside their adrenals. We know that from guys taking too much DHEA supplement. Might be a factor for you. Otherwise we are concerned that liver may not be clearing estrogens properly. Despite “Testosterone - 7.00 ng/ml (3.00 - 8.27)” your low body and facial hair suggests that you are weakly virilized. In such cases we expect that TRT will complete virilization. Your tallness and fast growth suggests that FT levels, FT–>E2 and E2 levels were low. Closing of long bone growth plates is largely driven by E2 levels and that is why most women are short and why most tall women are small breasted. Does this help you? -no, but shows that you may be fitting an understandable pattern. But what changed? - see stickies below.

Labs:
TT
FT
SHBG
E2
LH/FSH
prolactin
AST/ALT
CBC
hematocrit

Cortisol is worrying. What time of day was that and how long since waking up?

Why was cholesterol so low now recovered? Extreme diet?

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.