This is not a doctor forum, this is a patient forum. I did have a question for you on your testosterone. These ranges are different than ours over here and i wanted to know if this is testosterone FREE or TOTAL>? can you find out? The total is the important once, but free still needs to be within an acceptable range. This may also help contribute to the libido issue.
A good article is from Life Extention Magazine: "Startling Low Testosterone Blood Levels in Male Life Extension Members" by William Faloon. The key point is your levels are too low in the "normal" range regardless of lab measurements. You have testosterone deficiency and your symptoms are stating that loud and clear.
"The number of men who suffer testosterone deficiency is so high that laboratory reference ranges accept ridiculously low levels as “normal.”
We at Life Extension suggest that men maintain their free testosterone in the range of 20 to 25 pg/mL of blood.35 Others with expertise in this area believe free testosterone as low as 15 pg/mL is adequate.36
Conventional blood labs, on the other hand, say aging men are alright with as little as 6.6 pg/mL of free testosterone in their blood—an absurdly low level!
Mainstream medicine’s ignorance regarding the need to maintain free testosterone in the higher ranges is a significant cause of premature disability and death in aging men.
(Note: Free testosterone is the biologically active form of this hormone measured in the blood. Total testosterone blood levels are not as reliable an indicator of an aging man’s testosterone status as free testosterone.)"
So over in the UK , there is no Free and total testosterone? In that case your level is very low. Its in range but very low. I would find a good urologist or testosterone person over there and explore the possibilities of testosterone replacement therapy. Even if your thyroid levels are low, the testosterone being raised will add to your libido, your energy level, and possibly aid with other issues as well. You need to consider whether or not you want to have children, if so, you may also want to look at adding some HCG in with the testosterone to aid in the atrophy and keep the sperm count within normal ranges. Lower testosterone can also add to weight gain (the tire around the stomach) heart disease, lower bone density as well. I realize this is med help and you are in the thyroid forum but there is a really good forum on Facebook run by Nelson Vergel who is a very nice gentleman who would be happy to answer any questions you may have specific to T replacement only. I am unfamiliar with the UK protocol so can only suggest based on my own experiences and failures using the US standards.
I'd just like to add that your thyroid numbers look good. Both antibody tests are negative, so you don't have autoimmune thyroid disease (Hashi's).
FT4 is a little on the low side, but since you're not on thyroid medication, that isn't too much of a concern because your FT3 is nicely up in the top third of the range. FT3 is the thyroid test that best correlates with symptoms. Your symptoms sound like hypothyroid symptoms, but wih your FT3 that high up in the range, that's almost an impossibility.
I'd pursue other possibilities as suggested above.
I can tell you my thyroid numbers are in the toilet, but my testosterone numbers are great. I think that the good testosterone is what has been carrying me through this. I have friends that have had good thyroid labs (with hashimotos disease) but it wasn't until their testosterone was optimized that they finally started to feel much better.
Your labs of a male gender - clearly point to a Vit D deficiency as a strong possible culprit here: Especially at your age factor and lab report..
You may want to look at the material on these supplements Vit D3 and DHEA(5)
Another point to address: if you are an alcohol drinker in addition to lacking DHEA and Vit D - affecting your Testosterone and SBHG.... QUIT. Stop now.
Hypogonadism, can cause symptoms of decreased muscle mass, breast tissue development, osteoporosis, fatigue, low libido and erectile dysfunction in adult males.
According to the website Musculardevelopment.com, researchers reported on a study published in the Journal of Clinical Endocrinology that investigated associations between
testosterone, vitamin D and SHBG
in over 2,000 males.
SHBG is a compound binding testosterone in the blood resulting in inhibited interaction with receptors meant for androgens. This study found that men having optimal an vitamin D amount in their system also had higher testosterone levels but lower SHBG levels. In comparison, men who were considered vitamin D-deficient or vitamin D-insufficient had lower levels of testosterone but higher amounts of SHBG.
I found I have low testosterone and low DHEA . My dr has me on DHEA to bring up both levels. You might want to look into that or ask your dr about it.
I am personally on testosterone replacement therapy and have tried most kinds and feel the best on the injections. I am on a very strict regimin of injections, I inject every 3rd and 4th day and test every 5 weeks with my thyroid to make sure I'm not too high or too low.
I also test my estrdial (ultrasensative lab on quest), and both TST free and total.