hCG 250iu SC EOD is ~optimal
You can co-inject hCG and other water based peptides etc.
400mg T per week is not going to be good for you. E2 management will be fubar. After that much T you will feel let down on your already too high 200mg TRT dose. You are not looking at this from the point of view of sustained quality of life or sustainable quality of live. Higher doses of T also increase risk of high RBC and hematocrit. There is concern that this might trigger a life-long issue requiring blood donations/removal. You have not even discussed lab work, so I can only conclude that you are ignorant about such issues. And there is no reason to expect that any given doctor has useful skills.
Post all lab work with ranges.
Need more info about you:
- waist size
- meds, Rx and OTC
- health issues
200mg T per week often does not work out well as guys have trouble getting balanced and that dose generates a lot of T–>E2 and elevated E2 spoils the game for almost all guys. low libido, sexual performance problems, moody, low energy, gyno …
You must be checking E2 levels and using anastrozole to manage E2. E2 near E2=22pg/ml - 80 pmol/L is optimal for almost all guys. Typically, a dose around 1mg anastrozole per 100mg T ester is a good starting point. A few guys, not rare, have that crash E2 which can feel really bad. They need to stop anastrozole for 5-6 days then resume at 1/4th the expected dose. With lab results, one can fine tune. If you get E2=30pg/ml, modify dose by 30/22. If E2=8pg/ml, modify dose by 18/22. easy!
Many find that TRT is not up to expectations and often the problem is low thyroid function. You can check that out via last paragraph in this post.
When you try to increase GH levels, do labs for IGF-1. Do not test GH directly.
Please read the stickies found here: About the T Replacement Category
- advice for new guys - need more info about you
- 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.