Your FT calculated is very low.
SHBG is high.
High SHBG creates a lot of non-bioavailable SHBG+T that inflates TT so TT then overstates your T status; while reducing what FT you have.
Prolactin is high. Prolactin can be increased by recent orgasm or cuddling babies, kittens, puppies etc. Prolactin can be high from a prolactin secreting pituitary adinoma, that can reduce LH/FSH.
LH/FSH is not high, see above, but should be with your low T status. Your testes also do not seem to be working properly.
Thyroid is a bit strange. fT3 is near mid-range which is what we want, but T4 and fT4 suggest iodine deficiency. Please discuss your history of using iodized salt, or dairy consumption in UK. Provide both sets of oral body temperatures - see below.
Bottom line:
Primary hypogonadism, adinoma may be masking expected higher resultant LH/FSH. High SHBG is inflating total testosterone which will confuse almost all doctors. Thyroid is mixed signals. Need body temperatures to get the bottom line. Possible iodine deficiency suspected. You need to sort out thyroid issues your self as the lab results mean that almost all doctors will be dismissive of any concerns. Repeat prolactin labs, MRI is used to image pituitary to see what is there. Adinoma and secondary hypogonadism create opposing forces on LH/FSH levels.
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.
Maintain this one thread for your case. Multiple threads create a mess.