Normal Total Testosterone, Low Free T and E2 - Would you start TRT?

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DrSheldor

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Hello everyone!

Been very thankful for all the constructive content on these forums over the last few months as I've been trying to sort through my situation.

I am a 41 year old male who had the usual slew of symptoms discussed on these forums: brain fog, poor recovery, trouble putting on muscle, lower libido, erectile issues, etc.

Got checked twice for my total testosterone, once was 540 with a free of around 7 (labcorp). This prompted more detailed labs which I've attached here:

My question is that with the super low Free T and rock bottom E2, these seem like they could potentially explain my symptoms. Feels weird to start TRT with total T ranging between 460-540, but with the Free and E2 so low do I need to at least consider that TRT is the answer? Appreciate any experience/thoughts or advice, thank you!
 

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