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Hi Vince - Thank you for your reply. You are correct in thinking that I am questioning the ancillary meds listed above and their effects which I appreciate very much, I was also curious to know if what I am thinking in regards to spinal health makes a lick of sense. I need to remain as active and continue my strength training essentially the rest of my life or it is inevitable that more surgery is in my future. That prospect, at least right now, is far worse to my health than taking this path and prolonging any further fusions.

I have also been reading a ton on this subject as I consider moving forward with TRT (I am already approved for it but have not proceeded yet as I educate myself). More frequent Subq injections throughout the week vs. one IM injection once a week would also lend itself to not needing the Anastrozole or at least reducing the dosage to a minimum. From what I have read, the more frequent injection path creates a more "saw tooth" pattern in testosterone rather than the one big spike during the IM injection once a week. I would obviously prefer a more level distribution than dealing with a spike. The MIC injection makes sense as well as the HCG. The Anastrozole is what is causing me concern. Its funny, the articles I have read seems to say that an AI is not necessarily needed and should only be brought into the picture if needed.