Most doctors are not good at this. Most are ignorant and do not think about what they are doing.
Blood is too thick. Donate blood if you can. Avoid iron fortified supplements, flour, bread, cereals, rice etc.
On TRT HTC=52 will get worse and 200mg T was really a bad idea. On TRT monitor HTC, RBC, hemoglobin, ferritin.
E2 is low because low FT leads to low FT–>E2
So no concern re E2.
You now have secondary hypogonadism and there is no reason to think that this was different before TRT.
Your 200mg/week testosterone cypionate was too much and you felt great until FT–>E2 build up high levels of E2 in your body. This is classic. Mood problems and intolerance are typical and E2 made you a bitch.
Oily complexion is not unusual and can calm down as your body gets used to good T levels.
Fertility: Are you needing to be fertile at this point? Wife agrees?
TRT:
- Self inject 50mg T cyp twice a week, subq with #29 1/2" 0.5ml insulin syringes
- 0.5mg anastrozole at time of T injections
- 250iu hCG subq EOD to preserve testes and fertility
Alternatively, you could try hCG only, trial at 300iu subq OED/E2D.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- 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.