We do not even know your age.
We attempt to look at more things than almost all doctors here and many ‘clinics’ have T-tunnel vision. Can in point - most guys here happen to have some degree of low-thyroid function, if you have more lab data - we need it. Most thyroid problems seem to be from iodine deficiency from not using iodized salt.
TRT is replacement. You pre-TRT T level have zero bearing on your TRT T dosing.
Your IGF-1 is well below optimal. But can you afford $6000/year for GH? Get TRT [and thyroid] managed and see if IGF-1 changes before you commit. The clinic makes money and they are motivated primarily by that.
$350 for only the labs you posted?
Suggest that you do:
50mg T twice a week
0.5mg anastrozole at time of injections
hcg is better EOD because of half life.
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.