Hi,
Assuming the test were taken before starting the medication, I note that in your case cortisol is raised and FSH is consistently on the lower side. Though the T level is low, I thought that an acceptable range for T was like 240 to 1200 , in which case you may be still within limits. Also your free T is still within range which suggests that the SHBG in your case is low. Personally I would have thought a more detailed liver test should have been done to look for problems like a fatty liver etc, which in turn should be managed with appropriate diet control and if SHBG could be raised, your T count could go up.
Again T level can reduce if you do vigorous exercise, and reducing the exercise to moderate level can push up the T level.
Prozac may be also causing a reduction in T level as well as FSH.
The higher level of cortisol may be a worry factor. Detailed checking of adrenal health may be done.
I could not think your thyroid readings any way suggests you have a problem with Thyroid.
In my opinion, based on my ignorance level, you should not have gone for T replacement, I would still suggest you to go to a better equipped hospital and get an overall health check up done to find the real reason behind your constant fatigue rather than substituting T.
You are only twenty. so better take care.
Good luck,
Solace
I am sorry the tests do not include units. I figured the range would provide sufficient relativity to interpret.
Testosterone, Serum: 265 (348-1197)
This was concerning, so another more extensive test followed.
TSH: 2.360 (0.450-4.500)
LH: 4.2 (1.7-8.6)
FSH: 1.1 (1.5-12.4)
Testosterone, Serum: 330 (348-1197)
Prolactin: 8.5 (4.0-15.2)
The next test was issued by my first endocrinologist.
Free Testosterone (Direct): 9.4 (9.3-26.5)
Testosterone, Total, Lc/Ms: 253.9 (348-1197)
LH: 4.1 (1.7-8.6)
FSH: 1.1 (1.5-12.4)
The next test my first endocrinologist ordered because I had been off Prozac for one week and figured why not.
Cortisol: 20.8 (2.3-19.4)
TSH: 4.2: (0.450-4.500)
I had an MRI done, and the results came back clear.
This is the most recent test.
Thyroid Panel With TSH
TSH: 1.930 (0.450-4.500)
Thyroxine (T4): 9.6 (4.5-12.0)
T3 Uptake: 34 (24-39)
Free Thyroxine Index: 3.3 (1.2-4.9)
Thyroid Antibodies
Thyroid Peroxidase (TPO) Ab: 8 (0-34)
Antithyroglobulin Ab: <20 (0-40)
Luteinizing Hormone (LH): 7.3 (1.7-8.6(
FSH, Serum: 1.3 (1.5-12.4)
Calcitonin, Serum: <2.0 (0.0-8.4)
Reverse T3, Serum: 21.5 (9.2-24.1)
Vitamin D, 25-Hydroxy: 32.6 (30.0-100.0)
Triiodothyronine (T3): 115 (71-180)
Estrogens, Total: 83 (40-115)
Ferritin, Serum: 70 (30-400)
Triiodothyronine, Free, Serum: 3.7 (2.0-4.4)
I do not know if this is important, however, these tests were taken at 8 AM. This could cause for the imbalance in some tests, as I had not eaten. I wonder if this impacted: Calcitonin, Serum; Ferritin, Serum, or Vitamin D, 25-Hydoxy
It is also important to note, I am currently taking 20mg of Adderall in the morning; 50mcgs of Synthroid in the morning; and 10mg of Prozac at night.