TRT Protocol With Blood Work

Hey everyone,

This is my first thread on these forums so I hope I'm including enough information here. I'm trying to get some assistance or suggestions regarding my current TRT protocol.

First, my stats. 45 years old, 5'7", 190 lbs., 23-25% BF. I have never used AAS or anything else performance enhancing. Lifting off and on for years, but I have been very dedicated for the last 9 months after being diagnosed with kidney cancer. I am cancer free now after surgery.

I just started working with a doctor about six weeks ago due to low normal testosterone levels that I've noticed over the last couple of years. I've experienced the common side effects. He is supposedly a TRT/HRT specialist, but his primary focus is as a gynocological surgeon. I like him and he listens. He seems very intelligent (Stanford doctorate) and fairly knowledgeable about hormonal imbalances.

However, there are a couple things about him that seem odd to me, but maybe it's more common than I'm thinking. One thing that has immediately come as a shock to me is that all the bloodwork is self reported to him. After our first appointment, he gave me a Quest Diagnostics lab slip to have my blood drawn. The results from this would have gone directly to him.

But, he said that if I was able to get my insurance carrier (Kaiser) to do the bloodwork for cheaper, then I could go that route. Well, Kaiser decided to go ahead and do all of the bloodwork. In any case, I got the results and put them into an excel spreadsheet that I then just emailed to my doctor. He accepted the results no questions asked. I guess that's cool because he's treating me like an adult. But, I could easily be tweaking the numbers to get treated for something that may not be necessary. I gave him accurate lab results so that's not a problem anyway.

The other thing though is that he has started me now on a TRT protocol. I came fairly informed to our last appointment about possibly running HCG and an AI along with testosterone. In his opinion, he didn't think HCG was necessary and prescribed me Clomid for an AI. In any case, can Clomid be ran as an AI or should I ask him to switch this to Arimidex or Aromasin? I will just acquire the HCG myself and possibly the AI as well. In the meantime, should I take any of the Clomid as per his prescription (50 mg EOD)? I am currently taking only the testosterone at 100 mg/week (his original protocol was 200 mg/EOW but I convinced him otherwise). I'd appreciate any advice that some of you vets can give me. My full blood work that was performed a month ago is below. Thanks in advance for any guidance here.
Result Range
Lipid Profile
Cholesterol 142 mg/dL < 239 mg/dL
Triglyceride 112 mg/dL < 199 mg/dL
HDL 49 mg/dL > 40 mg/dL
LDL 71 mg/dL < 129 mg/dL

CCRP (Cardiac CRP) .1 mg/dL < .5 mg/dL
Fasting Blood Sugar (FBS) 89 mg/dL 60-99 mg/dL
Estimated Average Glucose 105 mg/dL 85-126 mg/dL
Hgb A1C% 5.30% 4.6-6.0%
TSH 1.33 uIU/ml .10-5.5 uIU/ml
PSA 0.6 No range given
Vitamin D3 42 ng/ml 20-79 ng/ml
Testosterone, Ultrasensitive LC MS/MS Method 393 ng/dL 250-1100 ng/dL
Testosterone, Free 30.3 pg/ml 35.0-155.0 pg/ml
LH 2.2 mIU/ml 1.0-12.0 mIU/ml
Estradiol, Ultrasensitive LC MS/MS Method 38 pg/ml < or = 29 pg/ml

Additional Blood Tests
CBC (Complete Blood Count) Without Differential
WBC Count 5.4 K/uL 3.5-12.5 K/uL
Red blood cells count 4.71 M/uL 4.10-5.70 M/uL
Hgb 13.9 g/dL 13.0-17.0 g/dL
Hematocrit 40.00% 39.0-51.0%
MCV 85 fL 80-100 fL
RDW, RBC 14.30% 12.0-16.5%
Platelets Count 247 K/uL 140-400 K/uL
Sodium 130 mEq/L 133-145 mEq/L
Potassium 4.0 mEq/L 3.5-5.3 mEq/L
Chloride 100 mEq/L 100-111 mEq/L
Carbon Dioxide (CO2) 26 mEq/L 24-33 mEq/L
BUN 7 mg/dL 7-27 mg/dL
Creatinine .70 mg/dL < 1.34 mg/dL
ALT 21 U/L 0-36 U/L
Alkaline Phosphatase 57 U/L 37-117 U/L
AST 22 U/L 10-40 U/L