As SHBG is so high, there is a lot of T+SHBG floating around and it is inflating TT and SHBG+T is not bio-available. So your T status is more related to your FT than TT and is thus middle of the road.
With lower FT and high E2, it is expected that libido will suffer, mood will suck and energy levels will be reduced.
High E2 is reducing LH, FSH and T. Your LH is oddly high relative to FSH. FSH is often a better indicator of LH status than LH itself as LH is released in pulses and has a short half-life, it moves around a lot and any given lab may not be representative. That been said, high LH VS FSH is seen now and then.
Based on FT, you could try .5 - .6 mg anastrozole per week in divided doses. EOD would be good, dissolve 1mg/ml in vodka and dispense by volume or by the drop. Some are over-responders who need 1/4th that dose, no way to know in advance. If you crash E2, you will know it.
Your situation looks like estrogen rebound. PCT was flawed or non-existent. Some guys have brittle HPTAs.
If you can do labs, your target is E2=22pg/ml - 80 pmol/L
Higher T and lower E2 will reduce SHBG over time.
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
- HPTA restart
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.