If you are not OK loosing your fertility, you need to inject 250iu hCG subq EOD. Are your testes smaller now?
You need to study up on TRT because most doctors are idiots about doing TRT properly. Start on the learning curve. Passive does not work.
WE need all of your lab numbers. We dig a lot deeper than lab “normals” which are often flawed and not an indicator of optimal.
Labs in list format with ranges, or attached lab reports [not showing personal info].
Do not test total estrogens, test estradiol [E2]
SHBG is high causing liver to produce more SHBG.
Lower E2 with anastrozole, target level is E2=22pg/ml which is for most is optimal for energy, mood and libido.
Describe your TRT protocol, doses in mg’s, iu’s etc NOT VOLUMES
Inject 50mg T twice a week and do labs halfway between injections.
Take 0.5 mg anastrozole at time of injections.
Get labs done 10 days before you see the doctor so you can discuss the results instead of getting a stupid phone call from a nurse saying things are normal.
List all medications, Rx and OTC.
List all supplements.
See below re oral body temperatures and report them as well as your sources of iodine. This is not trivial. Most guys who come here have some degree of low thyroid function.
Please read the stickies found here: About the T Replacement Category
- advice for new guys - need more info about you
- 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.
KSman is simply a regular member on this site. Nothing more other than highly active.
I can be a bit abrupt in my replies and recommendations. I have a lot of ground to cover as this forum has become much more active in the last two years. I can’t follow threads that go deep over time. You need to respond to all of my points and requests as soon as possible before you fall off of my radar. The worse problems are guys who ignore issues re thyroid, body temperatures, history of iodized salt. Please do not piss people off saying that lab results are normal, we need lab number and ranges.
The value that you get out of this process and forum depends on your effort and performance. The bulk of your learning is reading/studying the suggested stickies.