DHT Levels/Test Cypionate

You need to start including lab ranges. You wouldn’t be the first guy with SHBG on the lower end to not do well on TRT injecting moderate to large doses.

Biology is ever changing, other hormones fluctuate all the time and this causes a change in testosterone, you will not always be on the same T dosage. It’s not common to see men injecting the same dosage for several years, but small course corrections every now and again.

I would take the word of Defy doctors over some sick care endo any day of the week.