A pilot could not be injecting insulin?
You could use low dose 10mg EOD nolvadex instead of hCG. After a while as part of your TRT labs, test LH/FSH to see how nolvadex is working.
You could inject 125mg sustanon per week which has a longer effective half-life. Sustanon - Wikipedia
Your ideas are sound. But should have higher AI dose in beginning of week with weekly T injections and less anastrozole in your system as T levels decrease.
Subq T injections also release slower for smoother T levels.
HTC=48.9 is high relative to your low-T. Maybe this is from very low E2 and cholesterol could be adverse as well. When you get T levels up, you need to watch HTC as TRT will increase.
Your transdermal is not effective and T levels were low, AI needs to match T levels so was way too much. Low E2 was also making you feel bad.
Do you have thyroid labs?
Any other labs?
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.