Labs were pre TRT.
They should use an E2 test that resolves below 20! That lab is useless for TRT work. They need to order different lab for E2.
HTC [hematocrit] was 49 before TRT, with low T, very high for that and they Rx 200mg T per week. That is really fucked up. The cut off for HTC is not much over 50.
What dose of ?anastrozole/Arimidex? have you been using?
Were you 12 hour fasting for that lab work. Glucose seems high relative to very good A1C.
AST/ALT were elevated. We muscles sore or heavily trained?
TT makes sense relative to LH, but then FSH seems high. Now that you are on TRT, LH and FSH should -->zero. Do LH/FSH lab now, 3 days after injecting. LH should be zero. If FSH is not near zero, that is a symptom of testicular cancer or rare, a FSH secreting pituitary tumor.
TSH is better near 1.0
fT3 and fT4 should be near or a bit above midrange. fT4 then look low:
- have you been using iodized salt long term - else probably deficiency
- check your oral body temperatures as per the thyroid basics stick; the best overall measure of thyroid function.
There, now you know more than that doctor. Go forth and manage your own health care or at least not be passive about these things.
Ever donate blood?
Concerned that you might have an iron overload. Labs: - concern HTC
CBC that has hematocrit
Do not take vitamins with iron or eat any iron fortified foods/cereals.
How do you feel? Head aches? Feel blood pounding in your ears?
Suggest 50mg T twice per week, total=100
Take .5mg anastrozole at that time
Do labs 1/2 between injections after two weeks. But you need doc on board.
Then you can calculate anastrozole dose change needed to get to E2=22pg/ml
Note earlier comment re hCG
CBC w HTC
To your doc its all normal and they are blind to the things that I see.