Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- things that damage your hormones
- protocol for injections
- finding a TRT doc
Those two drugs are not helping.
finasteride can cause major problems for some. Does timing line up?
Do you have these labs?
CBC
AST/ALT
fasting glucose
fasting cholesterol - can be too low
AM cortisol - at 8AM please
Check oral body temperatures as per the thyroid basics sticky, there can be issues not covered by the set or labs. Better to test fT3 and fT4. Thyroid has a big impact on energy and mood.
With less FT for FT–>E2, and high E2, we need to suspect that the problem is reduced E2 clearance by the liver. SSRI’s can do that as well as some OTC meds and other things or pathologies.
At your age, low-T is not the symptom, its the symptom and we need to try to find the cause.
1mg anastrozole probably too much for your T levels and E2 may crash, and that is another whole level of misery. Try 1/2mg/week and see how you feel in a week. Note that some are anastrozole over-responders who need 1/4th the expected amounts.
Your doc look very promising. Please read as much of the stickies as you can in the order listed.
Increasing TT is not a very good goal when most of it may be T+SHBG that is not cleared by the liver. Your TT probably is inflated.
Your doctor suspects that you have heavy metal exposure or to other toxins?