How long has this been going on?
Where are you located? Affects diagnostic and treatment options.
Are you avoiding salt and also not using iodized salt, making you iodine deficient? Please eval overall thyroid function via last paragraph in this post.
What healthy fats do you consume?
Fish oil or other essential fatty acids [EFAs]?
Please confirm LH=24
**LH=24 indicated major degree of primary hypogonadism. FSH is often a better indicator of LH status than LH itself as LH has a short half-life and is released in pulses. LH lab can catch a high, low or in between.
FSH=2.7 VS LH=24 does not make any sense. LH=2.4?
Primary hypogonadism cannot be fixed unless cause is a bilateral case of vascular abnormalities that can be surgically repaired.
Your diet is driving cholesterol way to low, ideal is 180. Cholesterol is the foundation for the whole steroid hormone cascade.
Avoid iron fortified foods or vitamins that list iron. Rice can be fortified with iron, and some B vitamins etc. Washing fortified foods looses a lot of the vitamins, but iron may stick to the rice. Cereals and flour can be fortified foods. Men are very good at hording iron and you are a good example.
You appear dehydrated for this blood work. For fasting blood work, remember to drink water.
As you are starting to understand, you need to know more than the doctors.
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.