Please provide with ranges if available:
hematocrit
RBC
hemoglobin
ferritin
serum iron
blood pressure
Your fT4 looks good, but TSH is high.
TSH should be nearer to 1.0, the ranges are bogus
FT not tested, but low E2=13.5 indicates low FT and/or low SHBG.
Many with symptoms of low-T are attacked with brain meds.
Low thyroid function is also depressing. Please see last paragraph in this post to self-eval.
You may be iodine deficient. Do you use iodized salt? Iodine is part of your thyroid hormones.
Stress can ruin your hormones, increase rT3 that interferes with fT3. Adrenals are stressed, cortisol gets high then falls later with adrenal fatigue. Your AM cortisol is currently good.
Ask for:
- self inject 50mg T cyp/eth twice a week with #29 1/2" 0.5ml insulin syringe, inject SC/SQ not IM
- 0.5mg anastrozole at time of injections
- 250iu hCG SC/SQ EOD to preserver testes, also many find good for mood
Inject SC/SQ over top of upper legs where you can see and avoid veins. Pinch up skin and inject into end of fold, needle parallel to tissue underneath. After injecting, press on injection site for 10-15 seconds to allow
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.