lab work help - 6 month TRT

[pchilds25]

Hi I'm a 35yo guy whose been on TRT for 6 months, my bloodwork before starting looked like this;

Total Test 310.4 Range 348-1197
Free Test 13.5 R 8.7-25.1
E2 19.5 R 7.6-42.6
IGF-1 224 R 88-246
TSH 7.87 R 0.45-4.5

Right now my TRT is;

Day 1,2: HCG 500u SQ
Day 3: Test Cyp 200mg/Methylcobalamin 1mg IM
Day 4,5: Adex 0.5mg PO

also started levothyroxine 50mcg PO daily and then 2 months ago I started HGH 2IU SQ days 1-5, with 2 days rest

My new labs came back;
Total Test 1053 R 348-1197
Free Test 43.07 R 5-21
E2, sensitive 8 R 3-70
IGF-1 420 R 88-246
TSH 3.81 R 0.45-4.5

I got labs done because I started having acne on my back, chest, and shoulders. After speaking to my doctor, he recommended starting clomid 50mg PO EOD for 2 weeks. I think it might be due to my E2 being too low, and I'm tempted to cut the Adex in half by only taking 0.5mg on day 4.
Any advice for me?

Forgot to add: labs were drawn on day 2, so Test should be at its lowest level

[lovbyts]

E2 is to low and Test is to high.

Yeah I would cut the adex in 1/2 but also lower the test. I know it seems nice to be at the top of the number but most people tend to eventually have issues being high for prolonged times. Typically 400 - 800 is a good range but you also have to go by how you feel. DONT try to keep feeling great because eventually it becomes normal and you are chasing the dragon so to speak.

Try your Test cycp at 150 mg week.

[OingoBoingo]

If it were me, I'd cut the Adex and Test in half, and start injecting Test twice per week.

Might also lay off Adex for a few weeks to raise E2.

[pchilds25]

Thanks for the advice guys,
I'll skip a week and then try 1/2ing my doses for a few weeks before getting my labs rechecked. Should I consider the Clomid, is there any reason I should try it? I'm still a little confused as to what my doc was thinking.

[OingoBoingo]

No reason to skip Test and hCG.

I would skip Adex until the next blood work, or until I noticed some symptoms.