First state healthcare and/or insurance doctors do not care or have the time to optimise you T levels, they only care that you’re within the ranges. Once you get there you’re done, that’s it they don’t want to see you anymore expect for your routine blood tests.
We have guys going on TRT a few points below your score, you need to get to 25-30 nmol/L to be optimal! There is no optimal at 17 nmol/L. Injecting more frequently with raise T levels even on same prior dosage.
You leave out a lot of details, your labs indicate UK location, but you’re talking in feet and pounds? Sustanon or Nebido or T-cypionate? Your new doctor is an idiot, he is measuring FT directly, this is wrong and inaccurate. FT is measured by calculating TT and SHBG = FT.
Your SHBG is low, if injecting cypionate twice weekly or EOD since your excrete most of your T into the urine. My SHBG is the same as yours, libido erections didn’t become consistent until I started injecting EOD. Only TSH tested, TSH is good but where are actual thyroid hormone levels? Your insurance is the problem, they restrict proper testing because they don’t want to pay for it.
Why are you running labs 24 hours after injection? It takes 48 hours to peak, doctors are truly morons! You want optimal you gonna have to start paying for TRT. Where is DHEA, DHT, pregnenolone levels? Is this E2 labs LC-MS/MS method? If not discard results.
Check out our thyroid sticky, check oral body temps as most are iodine deficient.