TRT 5 Yrs. Still Not Dialed In for E2 Levels. Lab Results

You need to inject T twice a week and take anastrozole at time of injections. If you inject only once a week, lab results are very much a function of lab timing. TT looks low, maybe you need more T or lab timing artifact. Do labs, always, halfway between injections.

Anastrozole dose needs to match serum T levels and things do not work well if T levels are not steady.

No need to ever check LH/FSH. Waste of resources.

We typically expect that most guys need 1mg anastrozole for every 100mg T cyp/eth. I could calculate a dose based on labs, but do not trust your labs when injecting once a week.

Self inject 100mg T twice a week
Take 1mg anastrozole at this time

Really need to have FT tested. Cannot tell if you E2 is creating a lot of SHBG that is reducing FT and inflating TT with T+SHBG.

Find a better lab panel.

With an anastrozole dose change, effects will take 7-10 days to happen. Do not make short term adjustments.

Test again in 4-6 weeks:
TT
FT
E2
CBC
hematocrit [HTC]

You could explain hCG dosing/timing. Need more info about how this may have affected E2.

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

There are some T hypermetabolizers here who need 300mg/wk T to get were others are at 100mg/week.

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