It's been four (4!) years of playing doctor roulette and trying gels, creams, nolva, clomid, with middling results at best... and at worst, feeling even worse than when I started this whole thing...
Last week, I finally found a knowledgeable TRT doctor and I have been on the following protocol for one week now:
Test cyp: 100 mg/week in divided doses (50 mg IM E3.5D)
HCG: 1000 IU/week in divided doses (500 IU E3.5D)
Anastrozole: Will be prescribed if my E2 rises above 30 pg/ml
Doctor specified target range of 20-30 for Estradiol, about 800-1200 for TT with high FT, and will dial in based on my symptoms.
I also am getting a list of thyroid doctors from Broda Barnes, if I need to go down that road - and I might need to since my TSH has been at least 3.0 for the past 2 years.
Time to start feeling better with stronger libido and better erections!