« Last post by Cataceous on March 23, 2019, 12:22:35 pm »
I'd said in the first page that combining a SERM with TRT generally doesn't work. This was based on statements by Dr. Saya. Since then I've learned that his beliefs on that have shifted, and Defy even has some patients on a SERM/TRT combo. Your results support the idea that a SERM can help with maintaining LH/FSH even with pretty substantial TRT dosing. I'd be a little uneasy about taking that big of a tamoxifen dose long-term due to possible liver toxicity. [Edit: just noticed that's EOD, not ED, so somewhat less worrisome.] Except for that, I think maybe you could just drop the hCG. The point of it is to keep the testicles active. But if tamoxifen is already doing that then you might do better without the hCG, as it stimulates estradiol production. You could compensate if needed with a little more testosterone, or other things. The estradiol result could help you decide where to go from here.
Some background to answer your question: LH is delivered in pulses, so what's measured isn't always representative of its overall behavior. Normally TRT/hCG causes LH and FSH to drop to very low levels. The tamoxifen is counteracting this by making your body think that estradiol is low. However, the magnitude of the effect isn't totally predictable. So LH is causing your testicles to make some contribution to your total testosterone, but it's probably something like a quarter or less, and the rest is provided by the enanthate, and a little by the hCG also.