Currently on 125mg per week. Levels 1050 test estrogen in range etc. all blood work good for over 1.5 years. Currently no sides. But light facial acne I can never seem to get rid of. Hair is fine not prone to balding. All this being said. I am 42 and I have diet/programming in check. What can I add to TRT to progress my physique more? Worried I’ll spill over in my bloodwork or aggravate some symptom I don’t want like more acne etc. But at same time I do want to progress my physique and size. I have 20 years experience dieting. Bodybuilding splits etc. so there is not much more I can do there. Any advice?

As far as additional medications to supplement your TRT to advance your physique; your primary options (legally speaking) of anabolic/androgenic steroid (AAS) agents would be nandrolone or oxandrolone. Stanozol can also be legally prescribed, though would not be a first choice your desired physique benefits.

Nandrolone is by far the safest with far fewer side effects or potential negative effects on your blood work. The anabolic ratio compared to testosterone is 5:1, so as far as strength and muscle size, 1mg of nandrolone is equivalent to 5mg of testosterone. There is also no estrogen conversion, so at reasonable doses, you can get quite a bit of benefit with little to no side effects.

Nandrolone was designed to be used long term and is FDA approved to be used indefinitely. Your dose and your bloodwork will determine your individual safety profile for whether it needs to be cycled on/off. In contrast, oxandrolone must always be cycled off. Just like peptides.

The “peptide hormones” like sermorelin are also a great addition to TRT either with or without additional AAS. These work through an entirely separate system (growth hormones like GH and IGF-1) so they do not effect your TRT dose at all. They aren’t as strong as nandrolone or other AAS.