FSH and LH are relatively high indicating that your testes are not functioning very well.
Low FT as I suspected, but FT should be tested directly when possible. NHS does not typically test FT.
While your TSH looks nice and TSH=1.0 often seems ideal, you can evaluate your overall thyroid function via oral body temperatures - see below.
Labs:
AM cortisol, at 8AM or 1 hour after waking
CBC - complete blood work
Hematocrit - may be part of the above
fasting cholesterol
fasting glucose
A1C - best indication of glucose/diabetes status
PSA - should have this known before TRT
DHEA-S
AST/ALT
Your lower E2 is typical of lower FT leading to lower FT–>E2. With your assumed higher body fat, I think that your potential for FT–>E2 would be high, as the aromatase enzyme is found in fat tissue.
“doctor has told me that everything is good and nothing is required” simply means that doc will not do anything. Doc is probably tied to the criteria of the NHS or German criteria. But there are private doctor$… Doctors and national health systems create barriers, party to avoid costs of treatment and partly because of ignorance or stupidity.
Are you snoring as well? Ask GF.
Libido is a state of health for males and many things can contribute to low libido. Sleep, T status and thyroid are major influences. Any other heath or vitality concerns?
Do you get leg cramps? That is a sign of magnesium deficiency and magnesium supplements can resolve that. Then nerves may be calmer and sleep may be improved, but that will not resolve sleep problems.
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.