You may not be able to get a direct FT lab done where you are.
With low E2, we can assume that low fT means low fT–>E2 and lower E2 levels.
SHBG increased with higher E2 and decreases with higher T levels, probably bio-T. If you increase T levels, SHBG may improve.
SHBG can be elevated by liver problems in some cases. Liver produces SHBG to scavenge sex hormones from the blood stream.
Your PCT could easily be wrong as body building and steroid forums typically suggest doses of SERM’s and hCG that are way too high which leads to very high E2 levels that anastrozole cannot manage. And stacking SERM’s or SERM+hCG is really wrong.
fT levels, direct or calculated have a lot of noise because fT is released in pulses and fT has a very short half-life. A lab value can easily catch a high or a low. Your high SHBG implies that fT is getting reduced by SHBG+T which is not bio-available.
You did not do well on TRT. Most likely reason is elevated E2. On TRT, E2=80 pmol/L - 22 pg/ml seems optimal for most guys in terms of mood, libido, energy etc.
TSH=1.98 is not good, the ranges are useless.
Your body temps, libido and energy may be low and often this is caused by not using iodized salt. Because the symptoms of low thyroid function are mostly the same as low=T, one could be on TRT and think that the TRT was not right.
See last paragraph in this post to self-eval overall thyroid function.
Low thyroid function slows down every cell, tissue, organ and system in your body and might limit ability to recover your HPTA with a restart.
Labs:
AST/ALT
CBC
hematocrit
fasting glucose
fasting cholesterol - can be too low
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- things that damage your hormones
- protocol for injections
- finding a TRT doc
- HPTA Restart
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.