Sore muscles can easily create high AST/ALT and doctor should be aware of that issue and asked you to get muscles recovered, stop working out, and do AST/ALT labs again. And consider that young guys with high T levels do not have liver problems cause by that and neither would you. The issue with liver was from body builders taking high doses or oral testosterone products that are hard on the liver. Doc is not knowledgeable to understand.
Yes that suggested protocol:
- self-inject 50mg T twice a week, SC/SQ with #29 1/2" 0.5ml insulin syringe
- 0.5mg anastrozole at time of T injections, adjust after labs to get near E2=22pg/ml, which works very well for almost all guys
- 250iu hCG SC/SQ EOD
Stopping TRT suddenly can shut you down.
Yes, TRT shuts down LH/FSH and almost all will get testicular shrinkage. 200mg T vs 100mg T is same result.
Labs: - on TRT
TT
FT
E2
LH/FSH - do not test
CBC
hematocrit
AST/ALT
fasting cholesterol
fasting glucose
TSH
PSA
Prior to TRT, should have DRE prostate exam, repeat at 6 months and annual after that.
Please check overall thyroid function via body temps as per last paragraph.
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.