Happy Anniversary @blshaw
@Casey_d sweet lord my man. You must have at least three things going on here. You don’t seem to have the genetics for keto (low carb). Your bloodwork responds very poorly to oxandrolone. Your only modestly elevated TT is masked by your probable very low SHBG while your fT is sky high given your Test dose. Your blood work looks horrendous. If you value your health you’ll pull the oxandrolone, get your testosterone back down to actual TRT levels and you need to figure out an eating plan that works with your body. Keto (for you) and oxandrolone ain’t it.
Read this and the other posts I put in that thread on lipids.
https://t-nation.com/t/realistic-trt-recomp-progress/253389/3731
You need to shoot for getting your triglceride to hdl-c ratio WAY down:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2664115/
Your bloodwork is shocking. Before I drop the hammer on your Provider let me come from a place of wonder instead of judgment. What does he think of your bloodwork?