WHAT you should seek:
- self inject 50mg T twice a week with #29 1/2" 0.5ml insulin syringes, SC/SQ not IM
- 0.5mg anastrozole at time of injections to manage E2 and do more reading...
- 250iu hCG SC/SQ EOD to preserve testes and fertility otherwise at major risk
Most doctors are clueless about make hormone care. You need to become knowledgeable so you can manage this. Passive does not work.
Men can metabolize T faster/slower than others.
Total T is: FT + albumin+T + SHBG+T
E2 levels vary for numerous reasons, creating more/less SHBG+T which is not bio-available but affects TT lab results.
After two weeks, FT. Bio-T have crashed, but lingering E2 will create adverse E2:T levels and that coupled with the physiological effects of low and dropping T typically makes guys feel worse off then pre-TRT.
Women on HRT get daily hormone delivery and your doc? Doctors do not need to have any depth of critical though or deductive reasoning to get medical degrees.
Please report what your dosing was for clomid and aromasin. Do you have TT, FT E2, LH/FSH from that?
E2 acceptable range: Lab normal ranges should not be construed to be healthy or optimal. Guys on TRT with high-normal TT and FT with E2>35 can typically feel horrible. Getting near E2=22pg/ml 0- 80pmol/L is for most, optimal energy, libido, calmness, mood, fat levels and fat patterns.
Lab ranges are statistical normal curve derived:
So most people/samples normally fall withing 2 or 3 standard deviations.
But the medical community takes "normal" a meaning healthy when this clearly is not the case. When these curves are created from sample groups of people, the samples include many individuals who are not feeling well. Alternatively, the medical community then accepts that only 0.3% can be unwell. Best example is TSH where a 11:1 ratio is "normal" when many are really suffering.
Please read the stickies found here: https://forums.t-nation.com/t/about-the-t-replacement-category/38/2?u=ksman
- advice for new guys
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Evaluate your overall thyroid function by checking oral body temperatures as per the thyroid basics sticky. Thyroid hormone fT3 is what gets the job done and it regulates mitochondrial activity, the source of ATP which is the universal currency of cellular energy. This is part of the body's temperature control loop. This can get messed up if you are iodine deficient. In many countries, you need to be using iodized salt. Other countries add iodine to dairy or bread.