Where are you located?
Your estradiol E2=180pmol/L is a big problem. You would be a lot better near E2=80 pmol/L , also risk of gyno!
Transdermal T has the highest T–>E2 conversion potential. Injected T is least T–>E2 and least cost.
You need, if possible, 0.5mg anastrozole twice per week.
E2=80pmol/L is a good target.
You may need some extra iodine. Are you using iodized salt? Can you get it there?
Do not test LH/FSH again always–>zero
You need to be checking hematocrit and RBC on TRT as these can get too high for some guys on TRT.
TRT leads to small testes for almost all guys and high risk of infertility. That can be prevented by hCG injections or a SERM.
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.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.