Starting TRT Next Week. I Have Some Questions

Post all lab results when you can and we do need lab ranges.

Travel: hCG when reconstituted needs to be kept cool at all times and shaking can damage it. So that is a problem.

Your script is for 100mg/week and that is 50mg twice a week. Every 3 days, E3D, is not twice a week. Pick to days of the week, Sunday and Thursday for example. If you want E3D, dose if 100/7 mg per day X 3 days/dose = 43mg/dose

hCG is best at 250iu subq every other day EOD/E2D, or 375 E2D. Its all about half-life, should be EOD but may not be that critical. Larger doses cost a lot more and can cause problems with increased E2. If mixed to typical 1000iu/ml, inject subq “25” on an 0.5ml insulin syringe, #31 5/16" works or #29 1/2"

You can inject T subq with #29 1/2" 0.5ml

Guys typically need 1mg anastrozole for every 100mg T. You should try that. You can take 0.5mg twice a week. You may find that injecting 50mg T twice a week and taking 0.5mg anastrozole at the time is an easier routine.

Objective is E2=22pg/ml which is good for almost all guys.

Do start anastrozole at time of first injection.

You do not want to push E2 too low. If you start anastrozole and feel crashed quite soon, you are an anastrozole over-responder. Stop for 5-6 days and resume at 1/8th mg twice a week.

You did not have FT tested or LH/FSH. At your age that is malpractice and if LH/FSH were low, then prolactin needs to be tested.

Your high E2 indicates a problem with E2 clearance. Liver should be tested. And some medications, Rx or OTC can interfere with liver E2 clearance.

Thyroid function can be part of fat gain. See last paragraph to evaluate. This is not optional.

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.