Starting TRT at 250mg T cyp per 6 days is insane. [292mg/week]
Your anastrozole needs will be closer to 3mg/week and you are taking 3.5mg/week. If you are a normal responder your E2 can be too low. If an over-responder E2 will be near zero. You should try to get near E2=22pg/ml.
hCG is not bio-available sublingual or nasally. You will be negative on a home pregnancy urine test kit. It is expected that your testes will shrink and fertility then at risk. But rarely, shrinkage does not occur. hCG sublingual or nasally is fraud/scam.
Inject T twice a week, inject SC/SQ over upper leg and take anastrozole at that time. EOD routine is also good. I suggest that as injected hCG eod is suggested because of its half-life.
You did not post pre-TRT lab work. LH/FSH should have been tested and at your age, low-T is a symptom, not the disease and an effort should be made to find the cause. In some cases, prolactin is elevated or high pointing to a pituitary adinoma that needs treatment as it could otherwise impinge on the optic nerves.
Please post pre-TRT labs with ranges, all labs, not just hormones.
Please read the stickies found here: About the T Replacement Category
- 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.