Recent Labs - are they normal?

drgnv

New Member
Hey guys,


Would appreciate some input on this pattern.


I’ve been experiencing ongoing low energy for the past few years — mainly a lack of morning drive and waking up feeling flat or unmotivated. I wouldn’t describe it as depression, but my baseline motivation definitely feels lower than it should be.


My libido is around 4/10. I don’t have erectile dysfunction, and I still get morning erections.


I’m 32 years old, lean, around 82 kg. I don’t drink or smoke. My diet is quite strict, and I’ve never been overweight or had any metabolic health issues.


Current labs:


  • Total T: 4.30 ng/mL (~430 ng/dL) (previous tests around the 500 mark)
  • FREE T: Pending ....
  • SHBG: 16.3 nmol/L (consistently low on last 4 labs over ~1 year)
  • LH: 3.87
  • FSH: 4.93
  • Estradiol (E2): 47 pg/mL
  • Prolactin: 12.96 ng/mL
  • eGFR: 82
  • Lipids & liver enzymes normal
  • TSH: 1.854 uIU/ml
  • FT3: 2.580 pg/ml
  • FT4: 0.0900 ng/dl

Does this look more like aromatization/inflammation-driven imbalance vs true androgen deficiency?


Curious how you’d approach this pattern before considering any intervention.


Thanks.
 

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