Suggest that you try to get balanced on 100mg T per week. Starting there will have a huge relative benefit. Because you are doing this on your own, you have to be determined to keep your hand out of the cookie jar and not get into high doses.
You have not done labs for LH/FSH or prolactin and thus have no idea about the cause, low-T is the symptom. If LH/FSH are low, prolactin could be a cause, in any case, a HPTA Restart is worth the effort. See the sticky for that. If LH/FSH are high, the problem is the testes and that can be corrected IF there is a surgically correctable vascular problem. Docs examined your testes? Testes every ache?
You may need a private physician for labs:
TT
FT
E2
CBC
hematocrit [HTC]
Diagnostics:
LH/FSH
prolactin if LH/FSH are low
Your goal is to get near E2=80 pmol/L
Suggest that you start low dose anastrozole from the start, then that would enable calculation of a dose to get to E2=80 pmol/L
That cuts the time and lab cost to get E2 managed.
Read the stickies and understand the implications of anastrozole over-responders.
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
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.