Every lab needs E2 checked.
You are one of the few who are T hyper-metabolizers. Typically for those, 300mg per week is required to get where others are at 100mg/week. The effective half-life is then also reduced. So injecting once a week or E5D does not work.
When you do the labs matters. You can get any number you want, simply change lab timing. Always do labs halfway between injections. Time of office visit can be wrong. Be consistent so observed changes are not lab timing artifacts.
Ask for this:
- Self inject T 85-86mg EOD with a #29 1/2" 0.5ml insulin syringe
- Take 1/4mg anastrozole at time of injections
- 250iu hCG SC EOD at time of injections if you want to preserve size of testes
The goal is to get near E2=22pg/ml
May need to increase anastrozole!
To get small amounts of anastrozole, dissolve 1mg/ml in vodka and dispense by the drop or volume.
Your low SHBG is worrying. Do you have diabetes? [symptom]
Your low SHBG will keep TT lower as there will be less SHBG+T
With effective TRT, there will be more hematocrit.
PSA tested?
DRE normal?
Do not expect much from Euro’s
See last paragraph in this post to eval your thyroid. Important.
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
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.