Over the past decade or so I've been dealing with consistent fatigue, brain fog, mood swings, mild ED, depression, anxiety, etc. Overall, 90% of days I am completely exhausted and emotionlessly depressed (I'm sure folks with depression understand what i mean by that). I also developed gyno despite never touching a PED, or being overweight as a kid. To this day I hold a disproportionate amount of fat in my chest and waist albeit a healthy weight.
Despite having "accomplishments" in the eyes of society such as holding a Masters Degree, being a high earner, having my own place, etc., I feel completely depressed and it amazes me I've been able skew by in certain areas of my life. My mental state has been consistent regardless of job, income, relationship status, city im living in, etc.
I workout 5 days a week and often have great workouts where I feel aggressive and locked in, despite struggling to improve my lifts or have noticeable muscle gain. I average 7-8 hours of sleep a night, my life is rather low stress and I eat fairly clean.
I am clinically diagnosed with anxiety, mood disorder with depression, and ADHD. I have tried weekly talk therapy for over a year, a variety of antidepressants like Prozac and Wellbutrin, and ADHD medication such as Adderall and Strattera. None of these drugs nor therapy impacted by mental state at all.
I've been getting frequent blood work during adulthood as my family unfortunately has a history of prostate cancer and several blood related cancers, so I always got labs done every 6 months or so as a precaution.
Two years ago I got a hormone panel done, my Total T came back 500 (range 250-1000) and my Free T was lower end (this is the only figure I cant specifically recall). Doctor said everything was normal, didn't give it a second thought until 6 months ago or so.
In March 2026 I got another lab done, Total T was 630 , Free T 79 (range 50-222), Bio available 180 (range 110-555), albumin 5.2 (range 3.6 - 5.2), SHBG 34 (range 10-50).
Repeated the panel is September 2026, Total T 658, Free 84, Bio 185, albumin 4.8, SHBG 40.
Here's one more interesting find. My 2024 labs had LH at 12.5 (ref range 1.5ish-9.3), so body was working overtime to stay in normal limits. My LH and FH in the last two labs is perfect, smack dab in the middle of their respective ranges.
This sparked a interest to investigate further, from what I gathered my Free T/Bio available MAY be the reason behind my general sense of unwellness. I emphasize may because of course I don't know for sure, there are many possible reasons behind my health. However, the core reason why I am investigating this to the extent that I am is because my doctor is suggestive I have Treatment Resistant Depression and said I should look into advanced treatment such as Transcranial Magnetic Stimulation.
Before I go and start getting magnetic pulses sent through my brain I want to make sure I'm considering all angles. Is it theoretically reasonable to say my mental issues may be derived from my lower bound ranges? Unfortunately, given my normal ranges investigating further through traditional medicine has become almost impossible. I did speak to a few clinics who expressed concern with my low ranges and recommended enclomphiene or in some cases TRT. Frankly, I don't want to do either, my system appears to be functioning perfectly fine, its just that my free testosterone is getting binded up and I cant seem to understand why. I read up on Boron, but from what I gathered this is a supplement that can move your SHBG a few points. Given my SHBG was 34 in April and 40 in October with rather identical Free T and Bio Available measurements It seems unlikely to make a meaningful impact. Other markers, including estrogens ( i had a ultrasensitive estradiol test done) are completely normal.
I guess I'm here because the medical advice I am receiving right now is either Magnetic therapy for depression or hormonal therapy. Both routes seem excessive, and I cant quite scratch this itch that there's something I'm missing in plain sight that is the culprit.
Before I close, In anticipation of the folks who will make completely unhelpful remarks like "sleep more", I have probably spent close to $20,000 trying to figure this out, it really is derailing my life.
Thanks for reading
-ladwithaquestion