400mg of T cyp per week is simply NEVER indicated in the normal setting of medically managed TRT. The only possible exceptions are special cases such as HIV/AIDS wasting or other catabolic wasting conditions (which are clearly not even close in this case) -- and even in those cases only temporarily until body composition is stabilized.
The doc kept looking at the sheet when Palumbo asked questions. It appears this was a scripted encounter with the Doctor simply reading from a pre-designed protocol/script. These types of clinics are a dime a dozen in certain areas and, in my personal opinion, due to all of the blood, sweat, and tears I pour into my craft...a DISGRACE to TRT and the medical profession. Okay, that's off my chest, now I'll leave it be.