Hi,
I'm 35yo, 6', 215# guy who's been on TRT for 6 months. Before I started my labs were:

Total Test 310.4 Range 348-1197
Free Test 13.5 R 8.7-25.1
E2 19.5 R 7.6-42.6
TSH 7.87 R .45-4.5
IGF-1 224 R 88-246

My protocol for last 6 months has been:
Daily Levothyroxine 50mcg PO
Day 1,2 HGC 500u SQ
Day 3 Test Cyp 200mg/ Methylcobalamin 1mg IM
Day 4,5 Adex 0.5 mg PO

6 weeks ago I added:
Day 1-5 HGH 2IU SQ mornings

4 weeks ago I started having acne across my back and then spreading to my shoulders, chest, and abdomen. I had labs redrawn last week and here are the results:

Total Test 1053 R 348-1197
Free Test 43.07 R 5-21
E2, Sensitive 8 R 3-70
TSH 3.81 R 0.45-4.5
IGF-1 420 R 88-246

My MD is recommending Clomid daily x 2 weeks to help with the acne. I'm thinking my E2 is too low and I should cut back on the Adex. Any recommendations?? Also curious about IGF-1 levels. I've been having forearm/wrist pain/numbness in the mornings as well as knee/elbow pain/soreness thru out the day. I assume the forearm/wrist stuff is normal sides, but the knee and elbow could be from too much Adex.... Thoughts?