From what I've read, there are a few things this doc did wrong:

1. Prescribed Clomid instead of Enclomiphine

2. Started at 25mg ED out of the gate; seems like 12.5mg is a better place to start, and possibly not even every day.

3. Two 1mg doses of Anastrozole per week is extremely high. He also did not take baseline estrodial levels to determine what my "normal" was before treatment.

While I don't have any labs to back it up, yes, my hunch is that the high dose Anastrozole was crashing e2, leading to the panic attacks and anxiety. While my T numbers were up along with strength and recovery, my mood was not great on treatment. I think this is because we were crashing e2 twice a week, rather than managing it to a healthy level. I say this because I took it upon myself to ditch the Anastrozole for a week after doing some research, then tried a half dose (0.5mg, still too high) and promptly had the best day of my entire treatment period. Confidence, quick thinking, good libido, strength, recovery; everything. That was how I expected TRT to feel, it was just never dialed in correctly.