Help Understanding Blood Work

High E2 is acting on your HPTA reducing LH/FSH so TT is low.

High E2 should be increasing SHBG production in the liver, creating lots of SHBG+T, which is not bio-available, inflating TT and lowering FT.

Get FT tested and if not available test SHBG.

FSH is often a better indicator of LH status than LH itself because LH is released in pulses and has a short half-life.

Get AST/ALT tested to eval liver function, E2 clearance is impaired. Some medications, Rx and OTC can do this.

TSH a bit high, ranges are stupid. Should be closer to 1.0
Please eval overall thyroid function via last paragraph in this post.

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

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.