Males typically need to avoid added iron because they hoard iron. In a case like this we need to know if not aborbing iron or loosing it. Please get an occult blood test to detect any blood in your poop from a GI bleed. Treat this as important, your blood-iron labs are a strong symptom. While RBC can be down with low-T, your numbers strongly exceed that. We also expect TRT to improve RBC and HTC, after 4 weeks, there is no evidence of that.
Ask if you can get T dose increased 50% to 75mg 2x per week
E2 < 5 is bad. Lets assume now that you are an anastrozole over-responder. Stop anastrozole for 5-6 days to allow to wash out, note how you feel as E2 increases. Then resume taking 1/8th mg at time of injections. Do manage small doses, dissolve anastrozole 1mg/ml inn vodka and dispense by volume or by drops. A graduated dropper bottle is good.
Always to labs halfway between injections so changes are not lab timing artifacts. Doing labs at doctor office visits may not be workable.
LH/FSH should not be tested again on TRT as they -->zero.
TSH=3.18 is horrible. Thyroid lab ranges are useless.TSH should be closer to 1.0
TSH may be elevated by not using iodized salt. Please see last paragraph in this post to self-eval overall thyroid function.
Please find 5000iu Vit-D3, tiny oil based capsules. Take 5000iu per day and do not take with high fiber foods. Take 25,000 for first few days.
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.