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Why do you need E2 between 30-40? This is terrible, you must lower your dosage.

That’s because T3 (fT3) is what’s responsible for metabolizing testosterone on the liver.

Thyroid problems would present with low SHBG. Do you cut/starve yourself to look ripped? If so this can raise SHBG and lower testosterone production. This statement makes no sense. You can have a functioning HPTA and feel like normal everyday actively is akin to climbing Mount Everest...

I have similar TT and FT numbers. I'm 53 and the last time I checked my TT was 438, FT 8.4. I was on TRT for 8-9 years, came off and continued to have the same issues. I figured it out. The entire time on TRT I had low vitamin D but any time I tried raising the vitamin D I had side effects that...

A lot of mainstream medical doctors are ignorant when it comes to lipids. If doctors did receive nutritional education in medical school, the pharmaceutical companies wouldn’t be able to push their statins on people because the doctors would know better, and correct nutritional advice would be...

Correct me if I’m wrong but mainstream medical doctors recommend red meat once or twice a week. Insanity!

What do you have against red meat my friend? Chicken is too lean in fat to sustain you. I'm not seeing a healthy amount of animal fat in your diet. Big mistake! Humans are Apex predators, top of the food chain. Most of the animals that eat primarily meat are at the top of the food chain...

You don't give up much information and that doesn't gives us anywhere to go. Nothing mentioned about your diet/lifestyle. This is where mainstream medical doctors are practically useless. These symptoms of yours aren't specific to one disease and many doctors aren't good at troubleshooting...

You do have medical problems or you wouldn't be having these symptoms so early in life. There are a lot of medicine conditions (low cortisol/adrenal fatigue) that can cause symptoms mimicking low-T. Thyroid problems is doubtful given you're not overweight or have low SHBG. Full list of...

Many insurance providers don't cover (hCG) fertility treatments.

Your protocol is terrible. No wonder you're having issues. The newer oral testosterone, Jatenzo, Kyzatrex have less side effects than injections due to the frequent dosing and shorter half-life.

Hair loss isn't solely due to high DHT, it's a contributor but not the primary cause of hair loss.

The AI can deceive you into thinking your estrogen is fine, when in reality, serum E2 means very little. Estrogen is converted, made in tissues (50 x higher than serum levels) which can't be measured and this it's where estrogen exerts its effects and you're blocking estrogen inside the tissues...

https://tctmed.com/trt-increased-strength/#:~:text=The%20results%20of%20those%20studies,total%20body%20and%20arm%20strength.

You would need to apply minimum daily due to the very short half-life.

The thing about hCG is it increases other hormones and can create hormone imbalance or in the case where men show great benefit can create hormone balance.

I never heard of penis shrinkage from not using hCG. That's a new one. As far as testicle shrinkage, depends on how big they are to start with, if their small, than any shrinkage is going to be more noticable. There are lots of men on TRT in isolation doing very well with no complaints. HCG...

I updated my post. ^^^

You’re overweight for a guy that’s 5’ 11”. Clean up your diet and exercise. If you really want to improve your health, the carnivore diet has the ability to boost your testosterone. Nothing increases testosterone more naturally than red meat and exercise. I don’t think a lack of testosterone is...

If you're experiencing overstimulation due to the half0life of injections, lowering the dose won't matter. Changing the delivery method/half-life is the only option.

I didn’t notice a difference in my ratios of other hormones at midpoint and peak on injections versus orals. The only thing that changed was the half-life and the large fluctuation in hormone levels. The medium half-life injections can cause overstimulation because level stay elevated longer...

Perhaps you’re overdosed on IM. Try lowering your dose if you go back to IM.

I never felt right on injections. The shorter half-life formulations really change things for me. My natural levels more closely mimic the shorter half-life formulations. The difference between early morning and late afternoon are dramatic.

This is one of the reasons why many men continue to struggle with TRT. As of right now your hormone levels are unsteady. If you were on Jatenzo or Kyzatrex, you'd reach steady levels in 7 days due to the shorter half-life.

I remember a fellow from the UK who started TRT and couldn’t handle any alcohol afterward where beforeTRT he didn’t have any issues. He would have a couple sips of alcohol and wake up with a horrible hangover lasting for days.

There’s a pretty substantial difference in the half-life between topical cream and injections. You’re injecting daily and your hormone levels are virtually unchanging, always elevated whereas the cream levels fluctuates wildly. Daily infections usually causing too many problems for you...

The typical comment from an uneducated doctor that wants to sound like he knows what he’s talking about.

Cialis also has many other benefits. Bodybuilders use it for the extra pump when working out.

Blocking DHT could hurt cognitive function, wellbeing and libido. The conversion process of testosterone to DHT is a precursor to so many neural steroids. Affecting one pathway can have downstream effects to the conversion process of other neural steroids. DHT is the most potent hormone among...

No, I wouldn't recommended a blood donation for a HCT at 50%. If it bothers you go to a lab company with a 52% cutoff. My providers lab company has a 49% cutoff for HCT. I had an HCT at 55% and my doctor wasn't worried because my blood pressure was controlled. It takes knowledgeable doctor with...