Stop testing prolactin over and over again, you have established that you do not have a prolactin problem.
Skip Axiron. Absorption is 10% at best and with thyroid problems can be very low. Transdermals are most expensive because of low absorption, and highest E2 potential and E2 can erode all of your gains.
You need to self-inject T 50mg subq twice a week. #29 1/2" 0.5ml insulin syringes, 1/4ml of 200mg/ml T cypionate or enanthate aka ethanate.
You will need 250iu hCG subq OED/E2D to preserve testes and fertility.
Most docs are idiots when it comes to male hormone care. Your biggest problem will be the doctors.
Probably need 0.5mg anastrozole at time of injections to manage E2 near E22=22pg/ml. Have you ever had gyno?
With thyroid problems, there are skin changes and your T absorption can be very low, but E2 may increase and you can easily feel worse.
Do IR.
Get high potency B-complex multi-vits with trace elements and iodine 150-170mcg AND 150-200 mcg selenium.
On IR and for a while after, TSH will be pushed up - as expected and OK.
Never test hGH! Is released in pulses with very short half-life. hGH=11.33 tells you nothing. Do test IGF-1 which is a better measure of GH than GH itself.
Post:
E2 - estradiol
CBC
hematocrit
PSA if >40
AST/ALT
cholesterol
glucose
AM cortisol
IGF-1
TSH should be close to 1.0
fT3 and fT4 should be midrange or a bit higher.
Thyroid lab ranges are useless and that misleads doctors.
Eval your thyroid function via last paragraph in this post.
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.