Liver disease is the most common reason for higher than normal levels of ALT. Some of these antidepressants can increase liver enzymes.
Have you ever tried TRT without HCG?
Reason I ask is because this wouldn't be the first time someone didn't do well on HCG, it can cause mood problems.
Personally I would want TSH lower and Free T3 higher, your Free T3 levels are a little underwhelming and are barely midrange.
