You have both hCG and LH from tamoxifen that are likely to be overloading your LH receptors which creates a lot of T–>E2 inside the testes, serum E2 can be high and anastrozole cannot work inside the testes and E2 can be unmanageable.
I am always stating to never stack hCG+SERM or stack multiple SERM for a good reason.
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
- HPTA restart
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.