You cannot get good results with weekly injections, T levels changing a lot and lab T results more of a function of lab timing than anything else.
Inject T twice a week and take anastrozole at time of injections.
Try to always do labs half-way between injections to eliminate lab timing artifacts.
Do labs fasting - glucose and cholesterol
Do AM cortisol at 8AM or 1 hour after waking.
Doing labs in doctors office at random times is a bad idea.
Glucose levels are worrying. See note above re fasting. Get A1C tested to eval overall average glucose levels.
Not testing free Testosterone [FT] is nuts.
AST/ALT can be high from muscle damage/soreness. Test again after taking a break from training.
Your blood thickening is increased by high T levels.
Avoid foods with added iron, read the labels.
HDL may increase with high potency B complex multi-vit. Should have a good spectrum of trace elements including iodine+selenium AND should not list any iron.
Your shoulder issues might stem from your neck, but now swollen and tight muscles may be trapping nerves creating a persistent problem. Ask around for a good massage therapist that does deep tissue work with athletes. Fish oil can help with inflammation. Magnesium deficiency can prevent muscles from relaxing. If you get leg or foot cramps, or can tighten a muscle and make it lock up, you are deficient. This site sells a good magnesium+zinc supplement.
Try to get cholesterol closer to 180.
Statin drugs can induce CoQ10 deficiencies that reduce mitochondrial production of ATP, leading to sore muscles. This can also result in a persistent low level cough from high blood pressure in the lungs because the left side of the heart cannot move blood from lungs to the body fast enough. That is also the same mechanics of congestive heart failure. CoQ10 supplements can correct that, Ubiquinol is the best form.
Your T levels are up. Persistent fat can be from low thyroid function, perhaps from not using iodized salt. See last paragraph in this post.
Please read the stickies found here: https://forums.t-nation.com/t/about-the-t-replacement-category/38/2?u=ksman
- 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.