So I’ve been on TRT for about 9 months now. For the first six months I felt pretty good and for the last 3 I have been struggling with feeling good. I had originally started on 140mg injecting once a week. Staying on this protocol i had elevated hematocrit and had to donate blood every 3 months to keep it in check. After a few months on this I started to develop bad acne but test levels were good and so was my e2. Clinic dropped my dose down to 100mg and redid bloods and my test was back down to 500ng/dl but my hematocrit was well within range and acne disappeared. So we brought it back up to 120mg and stayed on that for a bit to get my test levels back up also added HCG 2 times a week at 350iu.
Libido went up big time and I felt great for a bit but that brought back acne soon enough. So after that I found a great urologist to take over my treatment.
He bumped me back up to 140mg and went to twice a week injections and started taking .25 of AI once a week. I felt great again and my strength started going up in the gym. After of being on this for 6 weeks I started to get heart palpitations and my hematocrit shot up higher than its ever been and I just didnt feel that great.
These were my labs at that point:
249.0 - 836.0 ng/dL
16.50 - 55.90 nmol/L
Free Testosterone, Calculated
2.29 - 20.70 ng/dl
15 - 575 ng/dL
11.3 - 43.2 pg/mL
4.0 - 15.2 ng/mL
24.00 - 39.00 %
Free Thyroxine (FT4)
0.93 - 1.77 ng/dl
0.450 - 4.500 uIu/mL
30.0 - 100.0 ng/mL
Sleep has been shitty, I crash in the afternoon right after I eat lunch. Very aware of my heartbeat when I relax, bit of anxiety and my sex drive is not that great.
Before this current protocol my e2 never got over 29 and now its pushing the upper range. Could e2 be the culprit of all of this ? Any help would be great!