Labs advice

Just got my labs back. I'm new on trt and this bw was done 2 days post injection, so the number is somewhat invalid. I'm trying to determine ifor I need to go down the hgh or sermolin path. My IGF-1 has fallen from 162 in 2013 to 91 now. I am having a slew of health issues such as a year's bout with gastric problems that are unexplainable to my gastro doctor. I am also having fatigue as well as joint, tendon, and muscle aches. I just had tennis elbow surgery 2 weeks ago and I need it on my other arm also. Advice?

If I recall correctly you're still new to TRT? If that's the case I give it time to dial in. It can take multiple months for some guys. That said, both GH and Sermorelin are great items. Expensive, but great.

Does trt effect the IGF-1? I thought they were separate.

Well, there's not much on that interelationship study wise. If it does elevate it on its own it would be to a minor extent.

https://www.ncbi.nlm.nih.gov/pubmed/7690364