Your E2 maybe high and causing low libido and possible bitchiness, intolerant, emotional.
With pellets, your levels peak then slowly drop over a couple of months. So your T–>E2 production rates also change. That makes is quite impossible to closely control E2 levels with an Aromatase Inhibitor [AI] such as anastrozole.
TRT is complex and needs to be discussed in different topics.
Eval thyroid function yourself via last paragraph in this post.
E2 is the most common issue needing attention. Thyroid is quite common with guys who come here, most often the cause is not using iodized salt.
Most are magnesium deficient. Often that shows up as crampy leg and foot muscles.
Most need Vit-D3 5000iu to get to optimal levels.
AM cortisol at 8 AM please
[DRE prostate exam]
Note that these change over time with pellets, so the numbers are largely determined by lab timing, so that really does not tell you much and a change in lab timing produces changes that are somewhat meaningless or misleading:
Please read the stickies found here: About the T Replacement Category
- advice for new guys
- 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.