Hi and welcome!

Apparently, your problem is not "Low T".

Therefore, putting you on TRT seems like a bad idea.

You have to know, that those clinics (like every business venture) are primarily interested in making money, so be really careful about what they offer you and always check if that could solve your problem.

Unfortunately, you have to be one step forward of the doc.

Yes, I know, it's ridiculous - nonetheless this is they way life works.

It looks like the doc. tried to handle all your symptoms, but not the underlying cause - all the fancy, although incredibly useful stuff he ordered you to take proves this.

I'd LOVE to take what you have, except the Testosterone and Arimidex.

I have as well 500ish T level (cause of low LH), with low cortisol, I can relate to you .

The strange thing is, your body is atm. (OK, before TRT) in a hormonal equilibrium / homeostasis and for most Low T guys that means the body somehow compensates for the low T production capability - typically lowering SHBG.
That homeostasis is a P.o.S., because you feel like sh!t and can barely go through life, but it's a survival mechanism indeed.

Your current lab values do not make any sense in the sex hormone / steroid view (DHEA low, SHBG high, WTF?), so there must be something else going on, that's why you have to dig into the thyroid issue and fix the cortisol problem ASAP - there is no way around.

Very interesting the use of sermorelin, the doc. either wanted to fix the cortisol with this, or just really wanted the $$$, sermorelin raises the GH levels a bit for a long time, unfortunately you would be better off with GHRP-6 in the morning it seems like.
GHRP is around 50 USD for a month, subQ inj., I think you can buy it anywhere in the US.
The best is to combine the two - that could fix the cortisol and you might feel better in a matter of days - of course it's hard to tell if you keep encountering stress during the days.

Yours is indeed a really complex problem.

What I see is that you are doing two, different approaches to hormonal health:

- TRT (Test. + Arimid.)
- natural hormone rebalance (all the other stuff)

I do not want to give you advice, but if I'd be you, I'd stop the Test + AI and would go with the natural route first (preg. + T3 would likely help a lot and fast).

You are 51, so going TRT could not be a big deal for you, I'm just 28 that's why I'd go natural. TRT is for life, there is no way back.

I hope you can pick a really good doc. you can trust.

Your cortisol levels are pure BS, no wonder you feel like you do.

I have to ask you:

Do you have dark under-eye circles and any kind of skin disease (seborrheic dermatitis or eczema)?

Do you look and feel like a zombie even after a couple of hours of waking up?

I took daily 10000 IUs of Vit. D before for months without any effect - I suspect Vit. D does nothing for you as long as your cortisol is in the wrong.


Good luck!