I've been on TRT for several years now (150MG weekly) and always checking my blood work. Total test hovers around the 400 range a few days after injection with free test at the upper level ( I took it from 150MG per week to 100 thinking that it may help moon face. Did that for several months.)

So I've been a bit confused why there has been some ED issues. It sure doesn't help when the wife insists on 4am for our husband/wife time (kids) but before TRT it didn't seem to be an issue. I finally broke down and purchased some liquid CIA from RUI and it has made a world of difference. Now I need to address my moon face. Not sure which way to turn about this. I have even had tests done to rule out Cushing's Disease. I also switched from twice a week shots to just once a week just to be different. I'm back on 150MG again.

I have a chart from the endo visits that shows me going from 178 lbs when first started TRT to 233 lbs in 6 months (6 ' tall & 49 years old) Diet never changed. Face is so swelled it looks unnatural. Doctor seems unconcerned that is has anything to do with TRT and says I need to watch what I eat and quotes my age. The ED happened about the same time as weight gain. I felt wonderful for the first month or so after starting TRT but it went downhill. Only other prescription I take is Prilosec.

Have changed around diet in every way, not a lot of salt, cortisol was high when tested the first time at local doc then found doctor that specializes in Cushing's at the Cleveland Clinic, they did MRI of pituitary and did some extensive tests and came up negative for Cushing's. Their advice was to come off TRT completely and see if that helps. I do not like that idea.

My BP is always high. I donate blood every 60 days or it gets out of control. Moon face and very red head like I've been in the sun. Also, the weight gain in stomach is behind muscle. Stomach is like a turtle shell, hard as a rock and reminds me of HGH gut. Distended stomach.

I did start taking liquid Prami at .25 everyday. Started it a week ago. No AI but Estradiol according to the doctor is fine.

RBC 6.23 Range 4.14 - 5.80
Hemoglobin 14.5 Range 13.0 - 17.7
RDW 16.7 Range 12.3 - 15.4
Eos (Absolute) Baso Range 0.0 - 0.4
MCH Range 23.3 Range 26.6 - 33.0
MCV 70 Range 79 - 97
Grans (Abs) 0.2 Range 0.0 - 0.1
Testosterone, Serum 384 Range 264 - 916
Testosterone, Free 3.7 Range 1.4 - 3.2
Estradiol Roche ECLIA methodology 31.6 Range 7.6 - 42.6
Vitamin D, 25-Hydroxy 17.8 Range 30.0 - 100.0
Ferritin, Serum 13 Range 30- 400

6 ft
238 lbs
32.3 kg/m2
166/100 mm[Hg]
83 bpm

Surgery last year on Heart for wolff-parkinson-white (wpw) syndrome and sleep apnea with it actually happening during the day. Sleep apnea and snoring started when TRT

Any advice is welcome as running out of ideas.