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
Your doc thinks that normal lab ranges mean that everything is perfect. That is wrong. You should be seeking optimal.
Describe your TRT in detail, doses in [mg, iu] not volumes, timing
Your lethargy could be iodine deficiency if you have not been using iodized salt. If not, when did that happen?
Elevated E2 easily happens with TRT and that can affect energy, libido and mood. Are you bitchy, intolerant, moody, sensitive to sudden or loud noise? E2 is easily managed with ~1.0mg anastrozole per week with a target of E2=22pg/ml.
pneumonia can take months to get over
Suggested protocol:
50mg T cyp or eth, twice a week
0.5mg anastrozole at time of injections
250iu hCG EOD to preserve testes/fertility
Labs:
- TT
- FT
- E2
- LH/FSH from before TRT, you cannot do this now
- prolactin
- CBC
- hematocrit
- fasting cholesterol
- fasting glucose
- AM Cortisol - at 8AM
- Vit-D25 or just take 5,000iu every day, 25,000 for first five days
- TSH
- fT3
- fT4
What do these thing mean? - see the advice for new guys sticky.
You can easily check thyroid function by oral body temperature as per the thyroid basics sticky.
If there is a more serious thyroid problem, TRT can sometimes make it worse if the increased/restored metabolic demands of higher T levels cannot be supported because of lacking in the thyroid and/or adrenals.
Low Vit-D3 or low thyroid function may increase illnesses or make the illnesses more severe.