Once I found a doctor who knew how the game was played, the biggest challenge so many of us face, it was steady improvement. Topical testosterone, a perfectly reasonable approach to TRT, failed me (as it does for a fairly large number of men); this same doctor, an endocrinologist who holds an endowed chair at a local medical school, was clueless when it came to injections; the discredited protocol so many prescribe, 200mg twice monthly...a ticket to hormone hell.
I found a qualified doctor and was happy with her initial prescription of 60mg of enanthate along with 250iu of HCG until my estradiol started climbing. Working to avoid an AI, I've been injecting 16mg of enanthate every morning for over three years. I couldn't be happier. Brain fog - gone; libido - excellent; erectile challenges - resolved; energy and focus - where I'd like them to be.
I do take daily Cialis, 5mg, as many do. Twenty milligram of hydrocortisone in the morning, and 10 at night (primary adrenal insufficiency). Lab results are steady and consistent.
Find the right doctor and that's 80% of the battle.
All the best.