That is too much letrozole. E2 will be very low and that has its own problems. Your “no effects” means that the effects of that are not too severe. [or you do not notice]
Your knowledge and command of writing is amazing.
You clearly are lacking virilization and something is wrong. Possibly genetic. TRT will make major changes in your body and mood. TRT can put one’s fertility at risk and you might be wanting that later on. Might be a good idea to has a semen sample examined at some point to confirm fertility to some extent before you make life-long efforts to preserver fertility.
How tall are you?
When did you stop getting taller?
Did you start growing taller early or late?
On Tamoxifen you should be getting LH/FSH quite soon to see how the hypothalamus and pituitary are responding. With increased LH/FSH,
Thyroid: Your labs may be normal, but there is a problem. The lab normal ranges are quite useless and misleading. TSH should be closer to 1.0 and T3, T4, fT3, fT4 should be mid-range or a bit higher. Your levels might be reflecting iodine deficiency caused by not using iodized salt.
Please eval overall thyroid function via oral body temperature as requested below. You might also be feeling cold easily, dry skin and have sparse outer eyebrows.
Low thyroid function is a strong contributor to:
- mood
- energy
- weight gain or inability to loose fat
Really do need lab ranges, you can edit your post to add the ranges.
Please post other labs as available: CBC, hematocrit, DHEA-S, AST/ALT, fasting cholesterol, fasting glucose
Labs should also include:
FT - free testosterone, or bioavailable T
SHBG
DHEA-S
prolactin !!!
AST/ALT
fT3 the active thyroid hormone
fT4
- many docs may refuse further thyroid labs because you are ‘normal’
Please read the stickies found here: About the T Replacement Category - #2 by KSman
- 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.
Location: Where are you? Affects how iodine is made available as well as diagnostic and treatment options.