Some do 12.5mg EOD. Some/few feel like crap with clomid, Nolvadex does not have that issue.
With the SERM you will make roughly similar amounts of LH/FSH. Add hCG to the LH and that is too much of a load on the LH receptors! E2 can get out of control.
E2=38 is horrible. E2 is from FT–>E2 and FT is very low. E2 is probably high because E2 is not getting cleared properly in the liver. Some meds, Rx or OTC can interfere with E2 clearance by imposing loads on the same enzyme pathways that clear E2. Anastrozole .25mg twice a week might be helpful, then do E2 labs in two weeks. Further info in the stickies.
Elevated E2 reduces LH/FSH and thus reduces T levels. Reducing E2 alone would be helpful to some degree. Your FSH was not low. LH unknown as it changes a lot from hour to hour with a short half-life. FSH with its longer half-life is often a better indicator of LH status than LH itself.
AST/ALT can point out some liver issues. You need to lay off training and not have any DOMS as this alone can affect AST/ALT.
Sperm production needs high intratesticular T levels from effects of LH and FSH present.
Your high hCG dose is unwise.
100mg zinc is too much and can induce deficiencies in other minerals, copper seems to be the most quoted.
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 number 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.