You need to change your diet, you are insulin resistant.
- drop: potatoes, white rice, bread, sugar, sodas, pasta
You should be using metformin. - cheap for 90 days at Walmart. You should do this soon, not waiting for a series of labs. Your very high glucose on your pre-TRT labs should have started action then.
Get a glucose meter, you can get one for $17 at Walmart that has low cost test strips.
High glucose wrecks protein structures in your body.
DO NOT let doc put you on a drug that increased insulin, that will increase your insulin resistance. You want to improve your response to insulin, not increase it.
Your insulin resistance is the greatest threat to your QOL. If you do not manage your insulin resistance, your current concerns will seem trivial in comparison. Eval history of type II diabetes in your blood relatives.
Read the protocol for injections sticky: Inject twice a week.
Your units for T and hCG are very confused. Please clarify and report T-mg and hCG-iu
- 5000iu vit-D3, tiny oil based caps, Walmart has these
- high potency B-complex multi-vits with trace elements and iodine, [may be two tabs per dose]
- anti-oxidants, Vit-C 1000, natural source vit-E and others
- EFA's fish oil, flax seed oil or meal, nuts
- health fats such as olive oil
FINASTERIDE: PSA= 0.5 | DHT and T do not cause BPH. Estrogens are the problem. I do not know why you need this drug. DHT is mission critical for libido and maintenance of the sex organs. Suggest that you stop and see how you feel. Otherwise this drug can be very dangerous for a few guys.
Anastrozole: Your E2 is enough to make you feel like shit!!! Reduce dose by this factor: new-dose = old-dose * 7.7/22
Your doc is an idiot. [most are]
Anastrozole dose needs to match your T levels.
Have you donated blood yet? HTC says that T dose is too high.
Reduce T dose, inject more often.
Are you self-injecting?
When do you do labs relative to prior injections?
Have you read the protocol for injections sticky?
Loss of AM wood probably more from low E2, not hCG.
- 100mg T cyp / week injected at least twice per week
- 1mg anastrozole in divided doses
- 250iu hCG EOD SC
- you are so far from there
Too much T is causing high HTC, that can limit blood flow in brain and other areas.
Your TT needs to be around 900, note that FT is quite high. If labs are on day 6, this is all very wrong. Self inject more often so that labs represent something useful instead of a snap shot of something rapidly changing. Anastrozole needs to match T levels, T levels are changing so anastrozole dose and E2 management is a mess. E2 is essential for brain function and libido. If to low, its all bad.
I guess that I can't find anything good about your protocol.
Need time of day for cortisol. Should be done at 8AM after a normal night's sleep, not getting up too early either. No food or caffeine.
There is a shit load of things above to deal with. Make a list of all of the action items for you. Clarify your T and hCG dosing. Stop finasteride, reduce anastrozole, explain lab timing for T and time of day for cortisol, get the supplements and glucose test meter, are you self injecting ...
T3 should be near 8
Do this lab set: TSH, fT3, fT4 [data for globulin bound hormones in T3, T4 sort of useless]
- read thyroid basics sticky
- post history of use of iodized salt and vitamins that list iodine
- post oral waking and mid afternoon body temperatures
- ping me @ ksman is here thread with link to this