So, the drop off is pretty normal, let me share something we give to our new patients:

- The Start, Weeks 1-4 - Many notice effects from the first few injections. During this time, more benefits will become apparent as the half-lives of previous doses build up in your system over time. It is important to give your body time to adjust to your initial dose.-

A Pause, Weeks 5-6 - During this time, many patients will experience a lull in benefits for a few days to a week. This is your body throwing a last "protest" about the new Testosterone before completely accepting it. This is normal, it will pass, and it does not mean you need to increase your dose.

- Evaluating, Weeks 7-8 - This is when your body has completely accepted your new Testosterone levels and is a good time to evaluate your treatment plan. Is all feeling well? Better than expected? Worse? We will send you a check-in survey around this time to touch base. If any changes need to be made, this is when it is fair to evaluate.You should likely bounce back, I'd wait until week 7-8 to evaluate the real changes.

About the thyroid, it can have some benefits with TRT, but if you didn't have any issues prior then I'm guessing it's just an add on to increase cost/margin. I'd lean towards that with the inclusion of Enclomiphene with Testosterone injections. Enclomiphene isn't terrible but doesn't do much that normal TRT wouldn't help with & can also lower IGF-1, something you usually want on TRT for muscle growth/retention. Gain of salt opinion is that you probably pay more than you need for things you may not need, but we don't know your provider or the details.