Updated Labs - Help Please

Something is really off here, and I think it relates to the slashes: cyp/enanthate, shallow IM/subQ. With labs this wrong, you need to isolate variables, and eliminate the slashes.

I feel like you are either injecting a bunk formula or subQ'ing into some thick "black hole" fat like the love handles. See if you can revert to the formula you were using when your levels were decent and switch to strictly IM injection.

What's weird is that I'm injecting the same exact Rx as I was previously, but I'm injecting a higher dose (started at 16mg > went to 18mg > went to 20mg while lab values have gone down).

I rotate injection sights from shallow IM delts, quads, ventroglutes, and occasionaly love handle fat. Using 31g insulin syringes.

I think my testes are completely shut down (primary), and I don't think that I'm getting any response from the HCG other than the other downstream metabolites. Not 100% sure if I should stick with daily doses or go to a less frequent schedule.
 
Using 31g insulin syringes.
This is a problem. These are only 5/16" long. I would suggest at least half inch length while eliminating love handles from your rotation.

I've gone months at a time injecting daily in only the ventroglutes with 30G 1/2" needles, with no issues or scar tissue buildup. You don't need a billion sites with needles this thin and oil depots this small.
 
What's weird is that I'm injecting the same exact Rx as I was previously, but I'm injecting a higher dose (started at 16mg > went to 18mg > went to 20mg while lab values have gone down).

I rotate injection sights from shallow IM delts, quads, ventroglutes, and occasionaly love handle fat. Using 31g insulin syringes.

I think my testes are completely shut down (primary), and I don't think that I'm getting any response from the HCG other than the other downstream metabolites. Not 100% sure if I should stick with daily doses or go to a less frequent schedule.
I've had issues with unexplainably low E2 as well but it seemed to resolve after a while and rose to more normal levels (a while being a year or so). A lot of things I wouldn't have expected can interfere with the aromatase enzyme, such as zinc, so you might want to review you supplements and see if any of them could be an issue. My issue seemed to resolve with time, although I did supplement with a low dose of e2 very briefly, so perhaps that did something as well.
 

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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.

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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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