Low Total T; High Hematocrit - Where to go from here?

[JuiceBoxHero]

Hi everyone! Long time reader, first time poster.

I started TRT about 20 weeks ago. After my most recent blood test, my urologist wanted me to consider stopping. However, I'm debating moving to a person that only focuses on TRT. But before I jump to that route, I'm curious about my most recent blood work.

46 y/o male; 100mg Test C wk split into two injections SubQ every 4 days in the AM.
Blood work was completed at 9a on injection day.

Total T: 578 ng/dl
Free T: 130.1 pg/ml
Dihydrotesosterone: 69 H ng/dl
Hemoglobin: 17.7 H g/dl
Hematocrit: 53.5 H
Estradiol: 47 H pg/ml
Prolactin: 108 ng/ml
PSA Total: 0.66

I do a daily BP test in the morning and I hover around 118/80.

The total T seems low for a higher Hematocrit and Hemoglobin. My physique has changed, but I have pretty bad acne on my scalp and back and a few cystic acne spots on my face. I'm noticing some hair thinning as well (photos show it). My wife says I tend to blow up a bit at the kids more quickly. But I do feel more energetic and less brain foggy.

I'm not interesting in stopping, but wondering where to move forward? I was thinking about doing 3 injections per week instead of 2. But everything I've read says my total should be higher - in the 800s.

I could use any advance before deciding to pay a lot more for a TRT focused clinic.

Best

 

[Nelson Vergel]

Do you know what your hematocrit was before starting TRT? If it was over 50, you may have sleep apnea (assuming that you don’t smoke)

Get some Nizoral shampoo and also some coal tar shampoo for your scalp. Using each one of consecutive days for two weeks and then stay on the Nizoral 3 times per week.

Try to minimize chocolate and milk products for a while to decrease acne. You can wash your face also with Nizoral.