28 Year Old Dialed In - Had Low Sex Drive, Fatigue, Trouble Sleeping

@systemlord @charlie12

I am now in week 6 of the new TRT protocol (80mg SubQ injections with 29 gauge, 1/2" insulin syringes twice a week; 160mg weekly along with 0.25mg Arimidex per injection; 0.5mg Arimidex per week).

Main issue is that I am still having issues sleeping at night (wake up 1-2 times and need to pee, and can’t fall back asleep after 3-4am) and fatigue during the day. Anxiety and depression are somewhat better overall, but still not 100% - depression has been MUCH improved compared to anxiety. Sex drive is still somewhat low, but I can have sex with my girlfriend a few times a day (assuming I am not too tired/fatigued).

I discontinued the Flomax a month or so ago due to persistent side effects and not resolving my nighttime urination/sleep issues.

Current blood tests for the 160mg weekly protocol below:

CHEMICAL NAME CHEMICAL LEVEL LAB REFERENCE RANGE DATE & TIME COLLECTED
TOTAL TESTOSTERONE 708 ng/dL 300 - 1,080 ng/dL 12/03/2018 8:09 AM
FREE TESTOSTERONE 159 pg/mL 47 - 244 pg/mL 12/03/2018 8:09 AM
BIO TESTOSTERONE 482 ng/dL 131 - 682 ng/dL 12/03/2018 8:09 AM
% FREE TESTOSTERONE 2.3 % 1.6 - 2.9 % 12/03/2018 8:09 AM
ESTRADIOL (ULTRASENSITIVE/PED) 49 pg/mL < OR = 29 pg/mL 12/03/2018 8:09 AM
SEX HORMONE BIND PROTEIN-SHBG 22 nmol/L 11 - 80 nmol/L 12/03/2018 8:09 AM
LH LESS THAN 0.2 mIU/mL 1.7 - 8.6 mIU/mL 12/03/2018 8:09 AM
FSH LESS THAN 0.2 mIU/mL 1.5 - 12.4 mIU/mL 12/03/2018 8:09 AM
TSH 1.60 uIU/mL 0.3 - 5.5 uIU/mL 12/03/2018 8:09 AM
FREE THYROXINE (FT4) 0.88 ng/dL 0.6 - 1.4 ng/dL 12/03/2018 8:09 AM
TOTAL T4 6.2 mcg/dL 4.8 - 10.4 mcg/dL 12/03/2018 8:09 AM
FREE T3 3.3 pg/mL 2.4 - 4.4 pg/mL 12/03/2018 8:09 AM
TOTAL T3 110 ng/dL 70 - 170 ng/dL 12/03/2018 8:09 AM
REVERSE T3 21 ng/dL 8 - 25 ng/dL 12/03/2018 8:09 AM
THYROID PEROXIDASE AB LESS THAN 1.0 IU/mL 0.0 - 6.0 IU/mL 12/03/2018 8:09 AM
THYROGLOBULIN AB LESS THAN 1 IU/mL < OR = 1 IU/mL 12/03/2018 8:09 AM
CHOLESTEROL 150 mg/dL 100 - 199 mg/dL 12/03/2018 8:09 AM
HDL CHOLESTEROL 36 mg/dL 40 - 120 mg/dL 12/03/2018 8:09 AM
TRIGLYCERIDES 56 mg/dL 40 - 249 mg/dL 12/03/2018 8:09 AM
LDL CHOLESTEROL 103 mg/dL ? mg/dL 12/03/2018 8:09 AM
SODIUM 139 MEQ/L 135 - 145 MEQ/L 12/03/2018 8:09 AM
POTASSIUM 4.0 MEQ/L 3.5 - 5.2 MEQ/L 12/03/2018 8:09 AM
CHLORIDE 104 MEQ/L 99 - 108 MEQ/L 12/03/2018 8:09 AM
CARBON DIOXIDE 26 MEQ/L 22 - 32 MEQ/L 12/03/2018 8:09 AM
GLUCOSE 97 mg/dL 65 - 140 mg/dL 12/03/2018 8:09 AM
BUN 13 mg/dL 6 - 24 mg/dL 12/03/2018 8:09 AM
CREATININE 0.90 mg/dL 0.50 - 1.40 mg/dL 12/03/2018 8:09 AM
CALCIUM 9.6 mg/dL 8.6 - 10.3 mg/dL 12/03/2018 8:09 AM
TOTAL PROTEIN 7.6 G/DL 5.8 - 8.0 G/DL 12/03/2018 8:09 AM
ALBUMIN 4.9 G/DL 3.4 - 5.2 G/DL 12/03/2018 8:09 AM
BILIRUBIN, TOTAL 0.8 mg/dL 0.2 - 1.1 mg/dL 12/03/2018 8:09 AM
AST 22 U/L 6 - 35 U/L 12/03/2018 8:09 AM
ALK PHOS 101 U/L 30 - 125 U/L 12/03/2018 8:09 AM
ALT 47 U/L 5 - 50 U/L 12/03/2018 8:09 AM
GFR – NON-AFRICAN AMERICAN above 60 ML/MIN 60 - 100 ML/MIN 12/03/2018 8:09 AM
WBC 7.0 K/uL 4.0 - 10.7 K/uL 12/03/2018 8:09 AM
RBC 5.35 10*6 4.20 - 5.60 10*6 12/03/2018 8:09 AM
HEMOGLOBIN 15.6 GM/DL 13.2 - 17.4 GM/DL 12/03/2018 8:09 AM
HEMATOCRIT 45 % 38 - 50 % 12/03/2018 8:09 AM
MCV 84 80 - 98 12/03/2018 8:09 AM
MCH 29 27 - 34 12/03/2018 8:09 AM
MCHC 35 % 33 - 37 % 12/03/2018 8:09 AM
RDW 13.4 8.0 - 18.5 12/03/2018 8:09 AM
PLATELET COUNT 210 10*3 140 - 450 10*3 12/03/2018 8:09 AM
Neutrophils, Absolute 4.50 K/uL 2.00 - 7.30 K/uL 12/03/2018 8:09 AM
Lymphocytes, Absolute 1.80 K/uL 1.00 - 3.40 K/uL 12/03/2018 8:09 AM
MONOCYTES, ABSOLUTE 0.60 K/uL 0.00 - 0.80 K/uL 12/03/2018 8:09 AM
Eosinophils, Absolute 0.10 K/ul 0.0 - 0.5 K/ul 12/03/2018 8:09 AM
Basophils, Absolute 0.00 K/uL 0.0 - 0.2 K/uL 12/03/2018 8:09 AM