New to TRT and Looking for Guidance

Who knows what “benzo” is?
benzodiazepine should never be long term.

Your T is converting to E2 as normal, but E2 probably getting too high. That would need to be managed by an Aromatase Inhibitor which is mostly an anastrozole. See if you can get 0.5mg twice a week prescribed. You need to have E2 lab levels checked. The objective is optimal, near 22pg/ml. If your doctor’s objectives are to only deal with this if not “normal”, you are screwed.
You also need a conversation about injected hCG to preserve your testes.

Given your medical history, you could have adrenal fatigue that then reduces thyroid function with elevated rT3 that interferes with the active thyroid hormone fT3 [free T3]. Start by getting your oral body temperatures as per the last paragraph in this post. If low, read all of the thyroid basics sticky noting references to iodized salt, stress factors, adrenal fatigue, Wilson’s Book.

Post all lab work with ranges. The world is a lot bigger than TT.

Always try to get labs done halfway between injections. Time of doctors office visit can be wrong. And wrong time of day too.

Labs:
TT
FT
E2
do not test LH/FSH while on TRT
CBC
hematocrit
Fasting cholesterol
Fasting glucose
AST/ALT, please do not have sore muscle from the gym, get recovered
PSA
DHEA-S - not DHEA
AM cortisol - at 8AM please
If body temps are low:
TSH
fT3
fT4
rT3

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.