My experience. Now what ?? Any advice welcome.

Thanks for the comments. I realize my current doctor is likely another lemon. I still got 3 months left of his paid services. But the latest blood work, other than adjusting the estradiol up or down a little bit with an AI is reasonable ?? I'm injecting 40MG T cyp EOD with a 29 gauge insulin syringe and 200 i.u. EOD of HCG beside the stomach. Total T is around 740, estradiol is 7.1 on 1 mg AI per week. SHBG is 15.8 DHT is slightly high at 104. I could perhaps ditch the AI ? I'm 6 foot about 185 pounds.
I had lab corp blood work showing Hematocrit at 50.6, 2 weeks old. 3 months ago that was good enough for the local hospital to phlebotomize. This time they said had to do their own blood work the same day. Although RBC and Hemaglobin were similar to lab corps numbers, my Hematocrit was 47.5, so they didn't remove any blood. ( the orders were based on Hematocrit number) Ever hear of anything like that happenning ? The fluctuation in the result?

Your estradiol is remarkably low. Was it measured via the sensitive lab test (LC, MS/MS)? I would certainly consider setting the AI aside.
 
How many doctors are you consulting?
The same doctor for the last 9 months.... I wanted to try hcg monotherapy. This was the first doct who would write a script. My HCG results were same as CLomid. Upper 400 in morning and 150 point drop by end of day. There was an in network doctor who prescribes hcg for weight loss. I tried to get a script from her and she said "Your not fat ! ". She didn't hear anything I said to her.

A couple months ago I tried 7 keto DHEA because everybody said it will not metabolize into Estradiol or Testosterone". When I took it my estradiol went from 40ish to 80's !! This is my downside from that.
So I'll quit the 1 mg per week AI like everyone is suggesting. I likely can adjust everything else and won't need it. Yeah, a couple posts back I did attach my medical testing results. First 2 sheets are on Enanthate and second 2 are on Cypionate. Gotta go...
 

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TRT Hormone Predictor Widget

TRT Hormone Predictor

Predict estradiol, DHT, and free testosterone levels based on total testosterone

⚠️ Medical Disclaimer

This tool provides predictions based on statistical models and should NOT replace professional medical advice. Always consult with your healthcare provider before making any changes to your TRT protocol.

ℹ️ Input Parameters

Normal range: 300-1000 ng/dL

Predicted Hormone Levels

Enter your total testosterone value to see predictions

Results will appear here after calculation

Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

DHT

Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

Free Testosterone

The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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