Thyroid could be affected from not using iodized salt. Provide history of that.
IR must have 150-200mcg selenium, not optional.
Your oral body temps [10/26/0217?] low while the active hormone fT3 was very close to mid-range. This suggests rT3 is elevated and should be tested again. Stress is a major factor with adrenal fatigue and rT3.
Your drop of fT4, fT3 and increase in TSH could be from dropping iodine. fT3=2.8 expected to reduce temperatures.
I do not suggest testing T3, T4, only the free hormones.
With low T3 this suggests low thyroid binding globulin. While this condition could be inherited or acquired, it is not considered harmful.
Yes, your testes could be producing more T, but are not. At 40 years, there are signs of aging. Thyroid fT3[rT3] may affect testicular activity. You are Vit-D3 deficient, that affects everything. Find 5000iu Vit-D3 taking one per day, 25,000iu for first 5 days. Also at your age, DHEA is dropping. DHEA-S labs to eval. 25mg DHEA available on vitamin display shelves. Some EFAs may be helpful, fish oil and/or flax seed meal/oil.
Your high LH/FSH might be leading to high E2 levels. - waiting
Not helpful when you change testing methods.
Increased SHBG suggesting E2 is higher even as higher FT is an opposing force.
See thyroid basics sticky for references to:
stress
illness, infections, inflammation, chronic, acute
adrenal fatigue
Wilson’s book
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.