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In a nutshell...you don't know what you're doing, and your doctor doesn't know what you're doing. Not a good combo. You are in desperate need of a good doctor that understands TRT. You can find a doctor like that at Defy Medical. At least get a consult...that way Dr. Saya or Dr. Crisler...

With your current labs, you shouldn't be taking any AI. The problem is...we don't know exactly what your E2 level is right now. Was this the sensitive E2 assay? You very well may have crashed your E2 since we really don't know what <20 means.

Your numbers look pretty darn good with the exception of your E2. <20 could mean 19, or it could mean 0...in either case, not where you want to be. An AI certainly isn't needed here. Just curious...why are you on a daily injection protocol? Your SHBG isn't low, so I was just wondering why...

OP, You're too damn young to be on TRT for the rest of your life. Normally, I would suggest a Clomid restart for a young guy like you, however your T levels aren't that low, and your HPT axis appears to be working. As others have suggested, a more thorough look at all your levels (full...

I pin Test EOD (40mg/.2ml) into my quads only. I use a 1/2"/29ga insulin pin to do it, and it is painless. Since my legs have minimal fat, I'm guessing that my injections are going shallow IM. Most guys don't need anything more than a 1/2" needle to do the job, unless you're going for deep...

Thanks for posting up some labs. It would help if you put in the ranges also, for future reference. A couple of things jumped out at me here: 1.) Your SHBG at 21.6 is definitely on the lower side, and you would benefit from more frequent Test injections. If you just broke down your...

The importance of maintaining good hydration cannot be overemphasized. Showing up for a blood test dehydrated will jack up your HCT for sure. While most of us fast before a lab draw, we can't forget to keep up the water intake.

At 5 years old, I'm 99.9% sure that they are well past their expiration date. I wouldn't expect much from them in terms of potency. I would just get a new script.

I pin Tri-Amino EOD (1mL), usually prior to a workout. I can honestly say that it has never made me sleepy or tired. Maybe I should try some before bedtime, with Sermorelin.

Why prolong the misery...to save some chump change? Quit wasting your time, go to Defy, and get some quality help.

What is the carrier oil used in your T Cyp? Grapeseed oil, cottonseed oil? Perhaps you're having a reaction to that.

Your H&H isn't critically high...it's more borderline. I think you'd be fine with a whole blood donation, then reassess. If I were you, I'd be eyeballing that E2 level (is it a male sensitive E2 level?). If your anastrozole dosage is truly 40mcg nightly, you might be able to do without it...

Easy Touch Store is way cheaper. Free shipping too. https://www.easytouchstore.com/easy-touch-insulin-syringes?pagenumber=3

Exact same for me. It doesn't get any easier than injecting into your quads.

James, I appreciate you sharing this with the excel community. Could you be more specific as to exactly where you were injecting the test, and with what kind of needle (length and gauge)? Just to be clear, you said you were injecting into the fat pad of your right glute. So, we're talking...

Post up any labs that you have. Something is better than nothing. Even though the regular E2 test is the wrong one for men, it's something to look at when comparing all the other results of your blood work. Total Test, Free Test, SHBG, E2, CBC, CMP, lipids, are a good start. If you have...

Jesus, Mary, and Joseph...you have my sympathy man. The Urologist giving you 400mg injections of test once a month is committing malpractice, IMHO. Run away from this incompetent boob at a high rate of speed. He is 100% clueless with regard to the subject of TRT. What did you general...

Billy, You've asked these very same questions in another thread, and many different guys have answered you. You've received a lot of good advice which you're either A.) ignoring, or B.) disregarding as bad advice. Have you called Defy yet for a consult? I know that I personally told you in...

A dangerous result? Oh please, do tell. Were you injecting into the dorso glute, and/or ventral glute?

Dude, you're killing me. First off...if you want to continue to blast 200mg of test in a single injection with a harpoon in your ass, then be my guest. If you want to be comfortable, have less aromatization, and possibly do away with the anastrozole, then do the following: 1. Switch to...

Like Vince mentioned, WHEN you draw blood is of critical importance. If you injected test on Thursday night, and drew blood on Friday at noon, you just drew blood at a peak, not a trough. You always want to draw blood in your trough period, or as close to it as you can. In your case, Monday...

Why haven't you consulted with Defy yet?

Post up your most current labs please. IMHO, 200mg of Test in a single injection, once a week isn't optimal. You should be breaking that up into a 100mg injection every 3.5 days for starters. Less aromatization. Your anastrozole dosage (at 1mg EOD) is just plain crazy. Way too much. At...

John, When Jay speaks of going to a "specialist," he's not talking about some Endo or Urologist that your PCP (primary care physician) refers you to. He's talking about a specialist that truly knows what he's doing with regard to TRT. He's talking about someone like Dr. Saya or Dr. Crisler at...

I would definitely shift to a more frequent injection schedule. Your SHBG is on the low side, and you would benefit from injections every 3.5 days...possibly EOD. The 200mg dose is on the high side of TRT, but you can re-check labs in about 5 or 6 weeks, keeping an eye on your test levels...

For me personally, I don't care for either glute site. The dorso glute location is just too difficult for me to administer an injection to myself. The ventro glute location is easier to access for a self administered injection, but the area you need to "hit" with the needle is much smaller...

Chris, Reading your post was like watching a train wreck in slow motion. Your protocols are all over the place, and are either outdated, or make no sense. Excuse me...1mg of Adex per day??? You have got to be kidding me. If you haven't already crashed your E2, you will very soon if you keep...

Jay, I'm going to go ahead and concur with Coastie, except I'll give it about a 2% chance of it going in the right direction, and a 98% chance of you meeting another Dr. Pellets, or someone similar. The end result being: you chasing your tail, and receiving sub-standard medical care. I just...

When I first started TRT, I was injecting HCG daily (150IUs). That quickly got old, as I am also pinning Sermorelin every night in my abdomen. I switched to an EOD schedule for the HCG (300IUs), after about a month an a half, and have been doing that ever since. Not having to pin HCG daily...

There aren't too many things it can be...it's either a Cyp/Prop compounded blend, or it could be a brand name variant...Sustanon 250, etc.

You're not being a bother. People are mentioning all these other issues to you, because they are important. Your doctor blowing off your TSH level without further investigation into your thyroid, represents a failure on his part to provide you with a world class standard of medical care...