Your T dose is high, but labs indicate totally appropriate.
Thyroid lab ranges are useless. Use guidance from here.
TSH should be near 1.0
Something is very wrong.
Please eval overall thyroid function via last paragraph. ASAP
Do no treat this as a side issue.
While TSH is a problem, paradoxically, fT3 and fT4 are workable. Please provide history of [not] using iodized salt. Is there iodine or selenium in your supplements - amounts and history?
Labs indicate muscle damage. Hopefully only from training. You need to back off and have full muscle recovery for your labs. Muscles should not have any tenderness or soreness.
You may be an anastrozole over-responder who then needs 1/4th the expected dose. Stop for 6 days then resume at 1/4mg 3x per week. Note changes over 7-10 days after that. Low estrogens might be contributing to many issues as well as cholesterol.
Please describe how you have been feeling? Include libido, mood, energy. How long on T levels like this?
Are you getting enough protein? Meat? Proteins are low VS T levels. Have you been donating blood. Are you able to donate blood?
High RBC and hematocrit can put your TRT at risk as T dosing may not be sustainable, a common problem for some guys. Pleases avoid iron fortified flour, breads, rice, cereals, pasta etc. There can be problems from sluggish blood flow, affecting vascular organs and brain. Mini Aspirin, coasted, can make red blood cells more slippery. Avoid dehydration at all times and during fasting for fasting labwork.
Kidneys: Please list all supplements and meds, Rx and OTC. Are you taking NSAIDs for joints? Exactly what and for how long?
You are a testosterone hypermetabolizer and your effective half-life of T is short. Please do not miss any doses and try to do labs always half-way between injections.
17-BETA OESTRADIOL <18.35 pmol/L 0.00 - 191.99
You goal is E2=22pg/ml - 80pmol/L
Low E2 can make your joints ache, kill libido and performance, mess with energy mood/depression and more.
SHBG is very low, perhaps because E2 is low.
Please read the above carefully and make up a task list of what you are going to do and then review for completeness.
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.