Please find the pencil icon above and edit the labs in your post above to add lab ranges, always needed.
When T is low, FT–>E2 generation is low, so high or elevated E2 suggests that liver clearance may be impaired. That can be from a liver condition or medications, Rx or OTC that compete for the same enzyme pathways that metabolize estrogens.
- Get AST/ALT tested.
TSH should be closer to 1.0
What is your history of using iodized salt?
Please see last paragraph in this post.
Odd to see mixed ng, pg with nmol
Where are you located? Affects diagnostic and treatment options.
Weak bones: While E2 is protective, T is needed to support protein generation, specifically collagen which forms the matrix of your bones that support mineralization. You also need vitamin-D and most people are sub-optimal. With the catabolic effects of low T, you may find that your skin is thinner and a bit fragile or aged looking, which is totally reversable. When T is low for a longer period of time, hair is lost below the knees and skin may appear shiny.
What is the time line for your feeling there effects?
Was there a blow to the head that might have caused this?
So far, your post suggests that stress may be factor and elevated rT3.
Do you have to ramp up adrenalin to get things done? [force my self]
Does caffeine play a major role in your life?
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- 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.