Should test LH and FSH together. — cannot be tested after you start TRT.
I see that you are onto the need for FSH, good reading skills.
You might have primary hypogonadism.
Any aches or pains in your testes?
Doc examined testes?
How important is fertility?
Omeprazole long term can lead to multiple mineral deficiencies and B-12 deficiency.
Many are magnesium deficient and your two drugs create two risk factors. If you get leg/foot cramps or can contract a muscle and have it lock up, you are magnesium deficient. This site’s Biotest store sells ZMA.
Not using iodized salt for years can make one hypo and the effects of high TSH lead to thyroid nodules that start to make thyroid hormones independent of TSH providing permission. That can progress to hyperthyroidism and your lab are consistent with been part way through that transition. You really need to be getting selenium as you are at risk of thyroid autoimmune disease. Get a 200mcg selenium supplement and take for 2-3 weeks before introducing iodized salt or other iodine supplements. Need some caution.
Thyroid labs:
fT3
thyroid immune panel
get thyroid palpated for size, nodules etc
never do thyroid labs after palpation, do labs first or at another time
Cortisol should be “AM Cortisol” done at 8AM or 1 hour after waking up.
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.