Your TT=2.87 is pathologically low. To understand this problem, get labs for:
- LH/FSH
- prolactin
Can you afford the expense of more lab work or TRT?
Cortisol peaks in the morning then normally drops more and more during the day. So ‘random’ cortisol is mostly useless. Should be “AM Cortisol” and you should do at 8AM or 1 hour after waking up, not on your exercise bike before. Doing labs at time of doctors office visit is simply wrong.
If Cortisol=7.5 was done in early AM, you are in trouble.
Without testing LH/FSH and prolactin, you know nothing about the nature of the problem.
TSH should be nearer to TSH=1.0
Thyroid lab ranges are quite useless. You are ‘lab normal’ do you feel normal?
fT4=1/39 is good, a bit about mid-range.
fT3 is the active hormone which was not tested.
You can self-eval overall thyroid function via last paragraph in this post.
You can expect problems if you have not been using iodized salt continuously.
Low thyroid function makes you fat and fat lost resistant.
Please post recent CBC data:
Hematocrit
total proteins
RBC
hemoglobin
Are you eating more protein to compensate for the protein drain of plassing?
Your plasma regeneration and muscles are competing for the same pool of amino acids.
Fasting cholesterol?
Fasting glucose?
Have you been screened for diabetes or had a A1C test?
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- 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.