SHBG low: can be a sign of diabetes, so you should screen for fasting glucose and A1C. But some guys simply have low SHBG.
Thyroid is complicated and few doctors understand the basics at all. Please evaluate your overall thyroid function via oral body temperatures and posts - see below.
With your mid-range fT3, if body temperatures are low, get rT3 tested, reverse T3, and in the thyroid basics sticky see references to: stress, adrenal fatigue, Wilson’s book.
TSH may be increased because you have not been using iodized salt. But adding iodine when selenium deficient is dangerous/risky. You can find a good high-potency B-complex multi-vit with trace elements including 150mcg iodine and 200mcg selenium.
You can inject 50mg T twice a week with #29 1/2" 0.5ml insulin syringes. Inject subq, not IM, over top of leg.
Take 0.5mg anastrozole/Arimidex at time of injections.
250iu hCG subq EOD will preserver testes
IGF-1=129 means that you are GH deficient. hGH is expensive so you can think about if you are willing to spend $6K per year on that.
DHEA-S is low, take 25mg/day. Find in vitamin isle. Take with meals that have more fats/oils and avoid with high fiber foods.
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.