250iu hCG subq EOD is a good LH replacement dose. High doses risk creating high T–>E2 inside the testes causing high serum E2 levels which then cannot be controlled with anastrozole as it is not effective inside the testes. 3000iu/week is simply wrong and a typical doctor mistake.
Cortisol drops after morning. “AM Corisol” done at 8AM or one hour after waking up is the gold standard.
Prolactin=15.4 is meaningless without a lab range which varies by lab company. The male lab range for Labcorp is “• Male: 4.0−15.2 ng/mL”
So you may have a prolactin secreting pituitary adinoma. But LH=6.7 seems a bit contradictory. So a repeat prolactin lab is needed. And as orgasm or hugging {babies, puppies or kittens} can increase prolactin, avoid for a few days.
fT4 is good at mid-range
fT3 is below mid-range suggesting impaired T4–>T3 conversion.
fT3 is the only active thyroid hormone
Expect that when you check oral body temperatures as suggested later, your body temps will be low.
No?
CBC
AST/ALT
glucose
cholesterol
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.