Typical of systems that use reference ranges to deny services and ignore symptoms. You may need to go private.
I do not see what triggered concern re cortisol. Cortisol best done at 8AM or 1 hour after waking up.
Many in UK are iodine deficient with low thyroid function that can contribute to your symptoms. See below re oral body temperatures. Problems are very common from not using iodize salt that is not stocked in all of the shops. Availability of iodised table salt in the UK - is it likely to influence population iodine intake? - PubMed
Ferritin ample to support T4–>T3 conversion
Should also test estradiol [E2] as that can reduce LH/FSH if elevated.
SHBG looks good. With low T levels, even lower E2 levels can create some estrogen dominance.
Any other lab results to post?
hematocrit
RBC
TSH, T3, T4, fT3, fT4?
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.