TRT attempts to restore metabolic rates and works together with the thyroid to accomplish this, if thyroid was already struggling it will lag behind as the pituitary gland asks it to pick up the pace, if the thyroid is unable to perform, TSH will stay elevated.
TRT can expose weak links in other organs or glands.
Twice weekly injections will solve low days and keep levels more stable.
You may need medication to lower prolactin, medications or antidepressants can increase prolactin.