Specialization does not always come with expertise.
Thyroid:
TSH looks good, fT3 seems perfect.
Now check oral body temperatures, see below, to see if the rest of your thyroid function is good. I assume that you have been using iodized salt.
SHBG is high. SHBG is made in the liver to scavenge sex hormones. AST/ALT do not indicate liver issue that could increase SHBG. E2 is not elevated or an obvious cause. This creates a lot of non-bioavailable SHBG+T that inflates TT so TT overstates your T status. That reduces FT and FT or bio-T is the the lab to be looked at. Your doc was misled by this. You do need TRT.
LH/FSH suggest mixed primary/secondary hypogonadism. You should test prolactin as a prolactin secreting pituitary adinoma could be depressing LH/FSH which might otherwise be high as seen in primary, masking that condition and itself.
At 29YO you really need to watch out for your fertility.
Gels are not good for athletes who will sweat and shower the T from their skin.
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.