One of the best measures of thyroid function is based on oral body temperatures as discussed below. Please post and discuss your use of iodized salt. TSH=1.23 does seem good so far. Stress can lead to elevated rT3 that interferes with fT3 - discussed in the thyroid basics sticky.
Your TT is low. FT and E2 should also be tested.
Your lack of energy later in the day could be low cortisol and stress related. Get AM Cortisol tested at 8AM or 1 hour after waking up.
You may need to find a doctor who works outside of whatever provincial healthcare system that you are trapped in.
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.