You appear to be either or combo:
- poor absorption of Vit-D3
- poor conversion of Vit-D3–>Vit-D25 [actually many very complex processes]
- hyper metabolizer of Vit-D3 or Vit-D25
- spilling Vit-D through kidneys
- and no way to really know
Vit-D25 is the active form and is actually a vital steroid hormone that effects/enables many gene expression processes. Keep taking it and try 20,000iu for a while to see if you notice anything.
FT moves a lot hour by hour and day by day. So its diagnostic value is limited. In your case, TT is your best indication of T status.
Thyroid is very important for energy, mood, libido etc.
- TSH suggests that you are not getting enough iodine.
- T4 and fT4 suggest that your thyroid is compensating decently.
- fT3 is strong above mid-range so body temperature and energy should be OK
- rT3 looks good relative to range, but some publisher ranges are low and then perhaps an issue
- eval end result via oral body temperatures - see below
Iron status seems OK
Cholesterol might improve with TRT.
If you lowered E2 with .25mg anastrozole twice a week, LH/FSH and T might improve. With your low T, you are very estrogen dominant.
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 numbers 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.