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Welocme to Excelmale. You have received very, very poor medical care, and it continues to be substandard. You did not have an adequate pre-TRT workup. The following should have been tested: total and free testosterone, FSH, LH, SHBG, estradiol/sensitive, CBC, CMP, PSA, TSH, t3, t4, rt3, thyroid antibodies, DHT, DHEA, and prolactin. To initiate therapy on the basis of a single total testosterone reading is absurd. Your total testosterone confirms hypogonadism, but leaves many other questions unanswered.


Your initial protocol was was doomed to failure. Testosterone injected every two weeks, no matter what the dose, will not restore your levels. It simply clears your body too quickly; at the end of the two-week period you'll have nothing left in your system, your estradiol is likely to have spiked, and you will feel miserable. Smaller, more frequent injections over the course of a week bring success. A good, typical, starting protocol is 50mg every 3.5 days.


Anastrozole - a good drug, but do you need it? Were your levels tested via the sensitive LC, MS/MS method? If not, why was one prescribed? It's not, by any means, a drug that should be routinely prescribed in the absence of elevated levels and symptoms. Furthermore, even if you needed it, the dose you have been is prescribed outlandishly high. Two milligrams a week is a ticket to misery. Please - don't fall into that trap.


You need better doctors. You deserve quality care. Find a doctor who will test your levels properly, and who understands contemporary androgen replacement.


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