My overall reaction is that they don't have a clue as to how to implement TRT. Most guys with normal SHBG levels (as you did at the start) don't nee more than 120mg per week (in divided doses) and many can get by with less. They are totally messing up your hormones.

I've already commented on the use of finasteride and blood donation. It is ethically unconscionable that they would advise a patient to donate blood while on finasteride. They should be closed down and have their medical license stripped for that alone.

Another level of incompetence is prescribing an AI with an E2 level of only ~47 pg/ml (range 15-55). Your E2 is not high and it's Low E2 (with the AI) that is probably what is messing up your libido and erections. GUYS NEED E2 too! Without it, we have no libido, symptoms similar to Low T, and we go limp. Sound familiar?

Finally, once weekly injections are old school. I'm guessing that this is an Low T clinic and you have to go their to get your injections (i.e., they don't prescribe self injections). No only is this costing you way too much, you have to break these injections up into at least 2X per week (I recommend E3D dosing) of MUCH smaller amounts. This will give you much more stable T levels and help to minimize the side-effects like high DHT, high E (which you don't have), and high hemoglobin (driven mainly by high DHT). I strongly recommend you read the "Best Practices in TRT" sticky on the first page on this subfourm. Their I outline everything you need to know.

BTW, how much finasteride are they prescribing and are they following this up with DHT labs? I don't see them posted. If you overdo finasteride, you can bring on Low T symptoms. Finasteride is a VERY POWERFUL drug. Based on my experience, even at your whopping dose of at 210mg per week, you'll need at the VERY MOST 1 mg of finasteride per day to keep DHT within the normal range.