Thanks for the appreciation!
list supplements and meds, Rx and OTC.
Thyroid panel?
Oral body temperatures also required, see last paragraph.
History of using iodized salt and/or vitamins listing iodine+selenium.
Please show AST/ALT, RBC, hemoglobin, serum iron, ferritin as available.
You have age related decline of T levels and it can only move in one direction.
You seem to be secondary, its the testes.
Any pain or ache in the testes?
High FSH can be a sign of testicular cancer, but this typically shows up as a young man’s disease. Given prostatitis, it would be a good idea to have everything checked out, including your colon.
When you do TRT, LH/FSH–>zero. If FSH does not, then there is a major concern. So TRT does have that diagnostic window.
FSH secreting pituitary adinomas are rare. You can also test for hCG as that can be produced by a cancer, so you cannot start TRT with hCG if you want that diagnostic opportunity. However, you could screen for hCG now.
Have you had a recent DRE?
Time of day is very important for cortisol. AM cortisol should be 8AM or 1 hour after waking up.
TRT+hCG could present some issues for you as it needs to be kept cool and not be agitated. Does not travel well. T+SERM is a possibility. But you can’t start with T+SERM because you are needing to see if FSH–>zero.
Gyno with E2=16.8 does not make sense. You will need to manage E2 for sure. You could test for prolactin which could contribute, but this does not typically show up at you age, but that may be a limitation of my experience.
Find 5000iu Vit-D3 tiny oil based capsules, take 25,000iu for first 5 days, 5,000iu thereafter.
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.