29 year old male...first time bloodworm - am I a candidate for HRT?

[Chauffeur]

TSH - 1.060 (.45 - 4.5 reference interval)

yes, I was on fairly high doses of narcotic pain medication for an extended period of time. I am currently completely off of medication now and have been cleared to get back in the gym.

I'd say it's pretty likely that the injury you sustained has something to do with this, and the opiate use probably played a role as well.

You may want to give it some time once you get back in the gym and have your diet in check. Your body might be able to recover from this. If you retest and your free T is still low then some type of treatment could be an option.

It's likely going to be difficult finding a competent doctor if treatment is necessary. Many doctors will have a hard time looking past your total testosterone value, which is VERY good. There aren't many who understand the importance of free testosterone.

[kelkel]

I'd say it's pretty likely that the injury you sustained has something to do with this, and the opiate use probably played a role as well.

You may want to give it some time once you get back in the gym and have your diet in check. Your body might be able to recover from this. If you retest and your free T is still low then some type of treatment could be an option.

It's likely going to be difficult finding a competent doctor if treatment is necessary. Many doctors will have a hard time looking past your total testosterone value, which is VERY good. There aren't many who understand the importance of free testosterone.

Solid advice above. Be sure to test your SHBG as well as Vit D levels next time. If SHBG is through the roof and binding all your T Vit D can help to some extent, but know your D level before you supplement with it. It's a fat soluble hormone and high levels for extended periods can be toxic. Other items such as stinging nettle root and/or avenacosides can help reduce shbg. If all that fails speak to your doc (or a new one) about danazol.

[1luv]

What is the best way to proceed with additional testing? My doc is exhausting me as he just simply has no clue...

[kelkel]

What is the best way to proceed with additional testing? My doc is exhausting me as he just simply has no clue...

Best way to proceed would be to find a better doctor first. Don't feel obligated to stick with a doctor just because you've been with them for years. I see my GP for regular doc stuff and a Uro for all my TRT needs. Do some research in your area or even post up the area you live in and maybe someone here can guide you. Finding the right doctor is imperative.