20 year-old full hormone panel. Thoughts?

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UPDATE 2: NEW LABS

Hey guys,
I still felt hypothyroid after my last set of labs so I raised my thyroid dose. And I also finally hopped on HGH in early March to combat my very low IGF-1 levels (discussed in another one of my posts). Reminder that I’m 21yo.

This is what I’ve been taking leading up to this lab work:
8am: 60mg Armour Thyroid (NDT) + 5mcg Cytomel (T3)
1pm: 60mg Armour Thyroid (NDT) + 5mcg Cytomel (T3)
10pm: 3.3IU HGH SubQ every night
Testosterone, Total (LC/MS) 1,005
(250-1100)
Testosterone, Free (Eq Dialysis): 99.5
(36-155)
SHBG: 77 H (10-50)
Estradiol, Ultrasensitive: 46 H (<=29)
Estradiol, Free: 0.87 H (<=0.45)
Prolactin: 12.9 (2-18)
PSA: 0.48 (<=4)
Pregnenolone: 120 (22-237)
DHEA-S: 92 (74-617)
IGF-1: 264 (83-456), Z score: 0.8
TSH: 0.06 L (0.45-4.5)
Total T4: 4.6 L (4.9-10.5)
Free T4: 0.7 L (0.8-1.8)
Total T3: 127 (76-181)
Free T3: 4.5 H (2.3-4.2)
Reverse T3: 9 (8-25)

My Analysis


Thyroid
My hypothyroid symptoms have improved noticeably. So I’m happy with that. I know that my TSH is lower than some people like to see but this is what I feel good at and I felt hypothyroid before I raised my dose of thyroid hormones. I’m treating off of symptoms. I just added another 60mg of Armour after these labs were drawn and I feel even better. This is my current dose:

8am: 60mg Armour Thyroid (NDT) + 5mcg Cytomel (T3)
12pm: 60mg Armour Thyroid (NDT) + 5mcg Cytomel (T3)
4pm: 60mg Armour Thyroid (NDT)
10pm: 3.3IU HGH SubQ every night

Estradiol/Prolactin
I don’t know why my E2 is so high. Could the HGH be raising it? It seems like the HGH raised my Prolactin, as I’ve heard it can do.

Testosterone/SHBG
I don’t know why my Free T decreased so much. I have been getting less sleep the past few months so maybe that’s why. Could lack of sleep also be causing my E2 problems? Also, I think my SHBG levels are a product of my thyroid hormones raising it and the HGH lowering it. Because I’ve seen my SHBG in the 90s on way less thyroid hormone (~60mg NDT + 5mcg T3).

My sex drive currently isn’t great. It’s never been too high but it kind of sucks because I’m only 21. With my last gf, I could only have sex once per day, sometimes less. Don’t get me wrong, I don’t want to get on TRT, especially with 1,000+ TT levels but it sucks to miss out on the feeling of having high T.

IGF-1
My IGF-1 levels are higher, which is great! I know that symptom relief is supposed to be a “slow burn” and I haven’t noticed too much yet. Some thing I’ve noticed are more hydrated skin and for a little while I had better sleep. But idk because the skin improvements could be due to the thyroid hormones too. The one downside I’ve noticed with the HGH is that my nipples are sensitive now. Not 24/7 but sometimes they get touched by something and I can really feel how sensitive and painful they are. I’ve never experienced this in my life. They also are the slightest bit puffy and they’re erect more often now. I’ve read that HGH can stimulate Prolactin receptors and cause Gyno so maybe this is a mild form of that.

Overall, I’m kind of stumped on what I should do. I’m concerned about my E2 and Prolactin the most and I’m considering stopping the HGH if it’s causing that. I’m going to try sleeping better to fix the T levels. My apologies for the long post but this is a long set of labs. Any advice or analysis?
 
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