Critical factors are your E2 [estradiol] levels and thyroid function.
Do labs and get near E2=22pg/ml - 80 pmol/L
You can eval overall thyroid function by checking oral body temperatures. You would want to be near 97.7-97.8F when you wake up and also be hitting 98.6/37C mid-afternoon
Thyroid function can easily be low from a lack of iodine intake.
Starvation diets can create serious permanent metabolic changes, as can over-training.
High dose hCG can cause high T-->E2 inside the testes that anastrozole cannot control and serum E2 can be very high. Ditto from high SERM dosing that causes high LH levels.
See this link found here: https://forums.t-nation.com/t/about-the-t-replacement-category/38/2?u=ksman
thyroid basics explained - if body temperatures are low.
browse other links there