Please do TRT as suggested above before you give up. Your TRT is not been properly managed.
You need a new doctor and there is a sticky for that. Most doctors are clueless and dangerous.
You might find liquid anastrozole on the internet, depending on where you are located. This is preferred for find dose adjustment over Rx pills that have limited pill splitting options. Some dissolve pills in vodka 1mg/ml and dispense by volume or by the drop.
You should be trying to get near E2=22pg/ml and you will need anastrozole to do that.
Suggest:
- inject 50mg T, subq not IM, twice a week
- 0.5mg Arimidex/anastrozole at time of injections
- 250iu hCG SC EOD - a proper LH replacement dose
E2 management is mission critical and high E2 can:
- cause gyno
- lower energy
- cause intolerance and general bitchiness
- contribute to acne
- promote prostrate problems
- contribute to endothelial dysfunction - aka heart diseases
- lowers libido, sensations and sexual performance
- caused adverse fat patterns
- increases SHBG
A few guys have hCG promote high E2 levels from high testicular T–>E2. We can only surmise this after changes and more lab work.
hCG once a week is not good enough to protect fertility and testicular form and function.
Please also test SHBG. With high E2 your FT:E2 does not seem to reflect expected increase in SHBG and SHBG might be low.
This should not be forever: Minocycline - Wikipedia
Age=30
Height
Weight
Waist size
Please post: - if available
fasting glucose
fasting cholesterol
A1C
pre TRT LH/FSH
Labs needed:
- prolactin - pre TRT results will do
E2 that high might reflect impaired E2 liver clearance.
You can inject T subq with #29 1/2" 0.5ml insulin syringes. Do not use 1.0 ml. Slow to fill but injection time is decent. Try belly fat and over upper legs.
You need steady T levels, once a week is a high peak then it drops. Your lab results are then mostly determined by lab timing. Anastrozole needs to match serum T levels, so it needs steady T levels and so does your brain and skin [acne].
Most guys here have some thyroid problems, often from not using iodized salt → thyroid deficiency. Please see "oral body temperatures below and report your AM and mid-afternoon body temperatures.
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 numbers 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.