Your cholesterol is fine and TRT often improves.
Please provide lab ranges for TT, FT. You can directly edit your post above, look for pencil icon.
HTC=49.1 is very high relative to your T levels. TRT can be expected to make this worse. You may need to do blood donations if you can. Avoid iron fortified vitamins, breads, pasta, rice etc. RBC will increase too and that is behind high HTC.
You should have checked LH/FSH before TRT. But problem is likely to be secondary hypogonadism with your history.
Dr: Younger virile males produce around 10mg T per day, 70mg/week. If you inject 100mg T enanthate [eth] or cypionate [cyp] per week, after the ester groups are stripped off you get ~70mg T.
The peaks of injecting once a week or less frequently promotes higher HTC, driven by the peaks and E2 is similarity increased. Injecting 50mg twice a week is your best option and SC/SQ provided smoother T levels while also avoiding decades of muscle needle damage. Inject with #29 1/2" 0.5ml insulin syringes, upper leg, pinch up skin and inject into end of fold, needle parallel to muscle layers below.
Do you need to remain fertile?
250iu hCG SC EOD is a replacement dose for youthful LH levels. This will prevent shrinkage and scrotum pulling up tight, and yes, many wives GF’s do care.
You need to be testing E2 estradiol. But get on proper T delivery for a while first so labs match protocol. I typically suggest 0.5mg anastrozole at time of twice a week T injections, and then adjust to get near E2=22pg/ml.
TSH is better near 1.0
Please self-check overall thyroid function via last paragraph in this post. DO NOT think that this is trivial. If you are not using iodized salt, change that.
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.