TSH should be closer to 1.0
T3, T4, fT3, fT4 should be mid-range or a bit higher.
The lab ranges are rather useless and this misleads doctors.
Provide more info about your self and medical issues. What medications how taken.
How are you feeling and how has this been changing over time?
The stickies for this forum are found here:
About the T Replacement Category - #2 by KSman
see stickies:
- advice for new guys
- that damage your hormones
- protocol for injections
- thyroid basics
There is a ‘thyroid basics’ link there for you to read.
Your labs are quite odd as fT3, fT4 are high relative to mid-range and TSH is high but should be lower because of fT3, fT4.
The
only explanation that comes to mind for this thyroid profile would be
elevated rT3. But this may not hold up to additional data.
What is you history of [not] using iodized salt?
Are your outer eyebrows sparse?
Get cold easily?
Stress a major factor in your life? accidents? surgeries? infections?
Red blood cells erythrocyte and Hemoglobin are both high end of range. This causes hematocrit/B-EVF to be high. Your blood is thick and should be thinner with low T levels. Blood will get thicker when you do TRT and you would be able to get benefit as a blood doner. You should avoid iron fortified foods or supplements. Males do not need iron. This may helps but not fix.
You have secondary hypogonadism. The cause is not elevated prolactin or elevated estradiol/E2.
We see a lot of young guys in your age group here that have low T. You are not alone here.
Your thyroid might have some relation to your low T. Sometimes a MRI is done to see if there is something visibly wrong with the pituitary. Did you have a large blow to the head or whiplash? That can damage the pituitary.