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I would think they would want to do their own Labs.

For a 23-year-old man, your levels are low. You should get your LH at FSH. Checked to see if your primary or secondary. You may want to find a good clinic like defy medical. That's who I use. The issue is your age. When someone is on trt It's hard to remain fertile.

Your hematocrit I wouldn't consider it too high. The main thing is stay well hydrated, like you said drink water. Don't smoke and if you have sleep Apnea take care of it.

I know this is off the subject. Enlarge aorta, once when I was in my doctor's office I saw the sleeves that they put over aorta artery. I was told an engineer design the sleeve to save his own life. It worked, pretty amazing. As you know, I'm not a doctor. I think the main concern is your blood...

Any issues with pooping?

I use zyhcg from reliable RX, generic

I feel much better with higher levels of testosterone. My estrogen levels are perfect, so maybe that's why I feel so good. I agree. Stay hydrated and try to keep a good VO2 max. It's not that hard to reshape your arteries as long as you keep your plaque growth to 10% or less a year. At that rate...

A CAC score of 153 I wouldn't consider it bad. As long as your VO2 max is good. I wouldn't be concerned. Just stop the growth of plaque and you'll be good. Your arteries can reshape themselves and stay open even with a high CT score which I would not consider yours high.

500 IU of HCG twice a week should be fine. It usually only takes a few weeks. I'm primarily and I inject 500 IU combined with my testosterone in the same syringe every third day.

Half-life numbers seem to be 5 days for cypionate, 4.5 days for enanthate, and 0.8 days for propionate. Some feel better with a protocol that matches closer to their natural production of testosterone.

My understanding is if your levels are good, no need to worry. If zinc levels are low and you supplement, then yes it will improve or lower your estrogen levels.

What's level is your estrogen at?

I do both Sub-Q 2 days a week and shallow IM 4 days I rotate 6 injection areas. The only reason I went to daily's was to control my HCT. Which it worked. Thankfully. I have not donated blood for 9 years now. I felt great on any any TRT protocol.

The key takeaway is that the brain is highly sensitive to its neurochemical environment, and "more is better" is not the case for estrogen. There is a "sweet spot" for optimal function.