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
We find that endos, as a group are particularity bad at TRT work. Read the stickies and know what you need.
E2, estradiol, is quite high relative to Total Testosterone TT, making you estrogen dominant and that affects libido and sexual function and more. This raises concern that liver may not be clearing E2 properly and labs for AST/ALT are useful. For AST/ALT you have to be off training for 5-6 days and have no muscle soreness.
Would be better if FT, free T, has also been tested.
Any CBC labs?
Your TT is very low for you age and FT may be worse. TT is T plus T+albumin plus T+SHBG. T+SHBG is not bio-available. Lower T and higher E2 increase SHBG.
Testes can be smaller from reduced LH.