Your suspicions are correct. Your doc has no understanding of the basics.
You need to read up.
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- advice for new guys
- things that damage your hormones
- protocol for injections
- finding a TRT doc
TT is nice, but may not be a good indication of T status if FT is low.
Labs:
TT
FT
E2
CBC
fasting glocose
fasting cholesterol
AM cortisol
TSH
fT3
fT4
AST/ALT
PSA
Anastrozole is a competitive drug, to T, and must match T levels. You need to inject twice a week to get steady T levels and take anastrozole at that time. For low dose management, use a liquid 1mg/ml solution, making your own if needed using vodka.
Changes in TT may be from lab timing artifacts hitting different times since prior injection. Try to always to labs halfway between injections. Doing labs at doc’s office at random times is not good.